2009 GTA Registration Form

Name: 

Contest Number: 

Sailplane Make & Model: 

Insurance Carrier/ID:  

Address Street:          

City/State/Zip:   

Phone Home: 

Phone Cell:

Phone Work: 

Email: 

Emergency Contact Name:  	

Emergency Contact Phone:  

Is your glider ELT equipped?  yes/no    older 121.5 or 406Mhz?  
Do you have an Personal Locator Beacon]? 
Do you fly with a SPOT gps tracking device?  
    if yes please include your personal tracking info / web link/ etc.


Race Division A Class (Experienced) or B Class (Novice):  

Highest FAI Badge: 

Approximate number of off-airfield landings:

Most recent SSA-sanctioned contest flown: 




        Suggested Trophy and expenses donation $20 


        There are 3 Payment Options:

1. Pay the annual donation via PayPal button on the website. http://home.att.net/~g.t.a.race/index.htm
2. Pay the annual donation via PayPal to: racing.gta@gmail.com
3. Make check out to Tim Larsen and mail to the address below.


Send Registration & Waiver, to the Address Below

2107 N. Decatur Rd #423
Decatur, GA 30033

The waiver is required from all participants but only needs to be done the first year you register.
If you have any questions call 404-273-2604  
or email  qflyer1@gmail.com