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:

*** Pa ssenger 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

- F atigue E

- Eatin g

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 Complete d

□ 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 q uestions regarding any of the checklist items

refer to either a flight instructor or the Duty Pilot. Upon returning from your flight you must rep ort 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 Pilo ts: 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 Prin t

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 P lan 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 rega rding 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 an y disclose and issues or

defects with the aircraft.

***Rental Flights cannot be recorded into a PTR for tr aining 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

Pil ot 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

Dist ance 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

Nu mber

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/100 0 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 o f 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