2006 US National Paragliding Championships

Registration Form

A maximum of 100 entry places are available for this event. Please make sure your information is complete and correct, then click the "Submit" button only once. Due to recent cancellations, as of August 21st, there are 4 contestant spaces remaining for this event.

Late Registration following July 15th - $400

Entry fees can be paid via PayPal, check or credit card. (Contact FSV for cc payments)

Pilot First Name:
Last name:
Email Address :
Date of Birth:
Gender:
Country of origin:
Home Address:
Home Phone:
Cell Phone:
Emergency Contact Name and Number:
Blood Type:
Glider Brand:
Glider Model:
Glider DHV rating:
Glider color and/or markings:
GPS Make and Model:
GPS Serial Number:
USHPA membership number:
USHPA membership expiration date:
USHPA rating:
USHPA Special Skills (required for P3's only):
FAI #:
T-Shirt Size:
Payment:	PayPal Check