WWFC - Flight Authorization Form – Front - V2.0

Type of Flight: Activity: Aircraft:

□ Dual □ VFR (Day) □ DA20 (No VFR OTT / IFR)

□ Solo (Auth Req’d) □ VFR (Night) □ C152 (No IFR Op’s)

□ Rental □ VFR (OTT) □ C172 (N or S)

□ IFR □ C172 RG or DA 40

***Staff Only*** □ PA44

□ Non-Rev Restrictions For Pilots: No solo Spins or Spirals, No Upper Air Practice with Back

□ Sight Seeing / Intro seat Passengers, No Flights beyond gliding distance from land when over water

PIC or Instructor Name:

(Please Print)

Student Name:

***Passenger Name(s) - Please Print

on Back of Form***

Date of Flight:

Aircraft Registration: C –

IMSAFE Checklist: I – Illness M-Medication S-Stress A-Alcohol F-Fatigue E-Eating 

Location of Flight (Select all that apply):

□ In Circuit

□ Practice Area 1 or 2

□ Within 25 NM from CYKF

□ +25 NM from CYKF (Flight Plan Req’d)

□ Landing at another aerodrome

Prior Authorization Req’d:

□ Land on soft/unprepared field

□ Overnight, USA or +200NM Flight

The Following Need to Be Completed:

□ IMSAFE Checklist completed (Above Info)

□ Weight and Balance (Computer/On Back)

□ Wx / NOTAMs / Status Board Checked

□ Documents and Airworthiness Checked

□ Performance & Fuel Calc’s Complete

□ All Signatures on Daily Sheet Completed

□ Flight Plan Filed (FSS if Req’d)

Prior Noticed Required for the Following:

□ Extend Rental Form (Approved +48 Hrs)

□ Survival Equipment (Limited Amount)

This form must be completed prior to being given authorization for flight. If you have any questions regarding any of the checklist items 

refer to either a flight instructor or the Duty Pilot. Upon returning from your flight you must report to Dispatch and disclose any issues or 

defects with the aircraft.

***Rental Flights cannot be recorded into a PTR for training Purposes. ***

Expected Departure Time: Expected Flight Time: Expected Arrival Time:

Flight Watch Updates:

WWFC - Flight Authorization Form – Front - V2.0

Type of Flight: Activity: Aircraft:

□ Dual □ VFR (Day) □ DA20 (No VFR OTT / IFR)

□ Solo (Auth Req’d) □ VFR (Night) □ C152 (No IFR Op’s)

□ Rental □ VFR (OTT) □ C172 (N or S)

□ IFR □ C172 RG or DA 40

***Staff Only*** □ PA44

□ Non-Rev Restrictions For Pilots: No solo Spins or Spirals, No Upper Air Practice with Back

□ Sight Seeing / Intro seat Passengers, No Flights beyond gliding distance from land when over water

PIC or Instructor Name:

(Please Print)

Student Name:

***Passenger Name(s) - Please Print 

on Back of Form***

Date of Flight:

Aircraft Registration: C –

IMSAFE Checklist: I – Illness M-Medication S-Stress A-Alcohol F-Fatigue E-Eating 

Location of Flight (Select all that apply):

□ In Circuit

□ Practice Area 1 or 2

□ Within 25 NM from CYKF

□ +25 NM from CYKF (Flight Plan Req’d)

□ Landing at another aerodrome

Prior Authorization Req’d:

□ Land on soft/unprepared field

□ Overnight, USA or +200NM Flight

The Following Need to Be Completed:

□ IMSAFE Checklist completed (Above Info)

□ Weight and Balance (Computer/On Back)

□ Wx / NOTAMs / Status Board Checked

□ Documents and Airworthiness Checked

□ Performance & Fuel Calc’s Complete

□ All Signatures on Daily Sheet Completed

□ Flight Plan Filed (FSS if Req’d)

Prior Noticed Required for the Following:

□ Extend Rental Form (Approved +48 Hrs)

□ Survival Equipment (Limited Amount)

This form must be completed prior to being given authorization for flight. If you have any questions regarding any of the checklist items 

refer to either a flight instructor or the Duty Pilot. Upon returning from your flight you must report to Dispatch any disclose and issues or 

defects with the aircraft.

***Rental Flights cannot be recorded into a PTR for training Purposes. ***

Expected Departure Time: Expected Flight Time: Expected Arrival Time:

Flight Watch Updates:
WWFC - Flight Authorization Form – Back - V2.0

Weight Item Weight Moment/1000 Weight Moment/1000

Lic. Empty Weight

Pilot and Pax

Rear Pax

Baggage 1

Baggage 2

Zero Fuel Weight

Fuel

Take Off Weight

Fuel to Destination

Landing Weight

Zero Fuel C of G

Take Off C of G

Landing C of G

Leg Take off 

Distance

Landing 

Distance

X-Winds Time Enroute Fuel 

Required

1

2

3

4

5

6

Passenger Information: (Include Full Names and Emergency Contact Information)

Passenger Name (PRINT CLEARLY) Date of Birth Emergency Contact Phone 

Number

Fuel and Servicing Requests

Total Fuel on-board on Departure Fuel Requested Prior 

to Departure

Any other requests for 

servicing prior to departure

WWFC - Flight Authorization Form – Back - V2.0

Weight Item Weight Moment/1000 Weight Moment/1000

Lic. Empty Weight

Pilot and Pax

Rear Pax

Baggage 1

Baggage 2

Zero Fuel Weight

Fuel

Take Off Weight

Fuel to Destination

Landing Weight

Zero Fuel C of G

Take Off C of G

Landing C of G

Leg Take off 

Distance

Landing 

Distance

X-Winds Time Enroute Fuel 

Required

1

2

3

4

5

6

Passenger Information: (Include Full Names and Emergency Contact Information)

Passenger Name (PRINT CLEARLY) Date of Birth Emergency Contact Phone 

Number

Fuel and Servicing Requests

Total Fuel on-board on Departure Fuel Requested Prior 

to Departure

Any other requests for 

servicing prior to departure