Membership application

Apply to join the club.

This is the same application as our paper form. Fill it out below and it goes straight to the club's Vice President, and a board member will follow up to set up a meeting at the airport. Fields marked * are required.

Prefer paper? Download the PDF →
1Pilot information
2Certificates & currency
3Emergency contacts
4Flying experience

List the aircraft you've flown, with hours for each.

Aircraft make / modelHours in typeLast 12 monthsLast 6 monthsInstrumentNight
5Violations, accidents or incidents

As pilot-in-command or as co-pilot, have you ever had any violations or actions taken against your pilot certificate?

As pilot-in-command or as co-pilot, have you ever been involved in an aircraft accident or incident involving damage to an aircraft, whether reported or not?

As pilot-in-command or as co-pilot, have you ever had your pilot or driver's license surrendered, suspended, or revoked; or been arrested for or charged with operating an aircraft or motor vehicle under the influence of drugs or alcohol?

6Agreement & fees

I, the undersigned, hereby apply for membership in Riverside Pilots, Inc. (the CLUB). I give the above information to the CLUB, upon which it can rely to consider my membership, and I authorize the CLUB to release it to its insurance carriers and/or others at its discretion in the normal course of CLUB business.

I agree to abide by all the rules and regulations of the CLUB, the FAA, and of all government agencies. I agree not to use the aircraft for business or any illegal purpose. Membership fees total $3,500.00, as follows:

  • Non-refundable initiation fee: $3,000.00
  • Refundable security deposit: $500.00

Payment instructions will be sent by the club upon membership approval.

I understand the CLUB charges monthly dues to approximate the cost of ownership of CLUB aircraft. The current monthly total is $245.00. The aircraft hourly rate reflects the approximate cost of operation per hour; hourly rates fluctuate based upon current fuel prices. All fees are fixed by the Board of Directors and may be changed as necessary.

I understand that I may resign from the CLUB at any time after being accepted as a member by submitting a letter of resignation to the Board of Directors. My security deposit will be refunded, less any outstanding charges due to the CLUB, within twelve (12) months after acceptance of my resignation by the Board of Directors. I understand that the time between resignation acceptance and return of my deposit may be changed by the Board of Directors. I understand that, among other things, the security deposit is to guarantee payment of any accidental damage to CLUB aircraft while under my control and not covered by insurance. I understand that my limit of liability to the CLUB for any such damage is $500.00.

Draw your signature with a finger, stylus or mouse.

Your answers are filled into the club's official application form (PDF) and sent privately to the club's Vice President. Prefer paper? Download the PDF.