HAUTE VOLTIGE®
ENTRY APPLICATION
HAUTE VOLTIGE®
PILOT DISPLAY AUTHORISATION
This document online is for information only, it can be
modified and cannot be considered as a contract or part
of a contract.
Document updated 01 JAN 2007
_______________________________________________________________________________________
The following does not apply to military and test pilots.
1.
OVERVIEW
• Each civilian pilot participating in the Haute Voltige®
Events must hold a Haute Voltige®
Pilot Display Authorisation (which is necessary to obtain
an FAI World Grand Prix Licence).
•
The Haute Voltige® Pilot Display
Authorisation will be delivered after submission of the
current Haute Voltige® Entry
Application to the Haute Voltige®
Head Office. It will be subject to the agreement of the
Haute Voltige® Director who will
propose a specific Agreement to each pilot, detailing the
flight programme and eventual Sponsorship conditions.
•
The Entry Application and its Pilot Display Authorisation,
the Haute Voltige® Operating
Regulations, the Authorisation to Publish and the Pilot’s
Agreement will represent the Terms and Conditions applicable
to an Haute Voltige Event, in addition to the FAI World
Grand Prix Sporting Code when applicable.
However, please note these documents can be superseded by
local law/regulations. If so, all amendments will be detailed
in a briefing prior to the Event and acknowledged by each
pilot through his/her signature of the Event/Airshow Waiver.
•
All personnel assisting the applicant on site, including
his/her Technician, will have to be listed in the application
and will be placed under the legal responsibility of the
applicant, after having been agreed by the Haute Voltige®
Director and the Promoter.
•
The applicant must make sure that his/her Technician and
personal assistants are covered by 3rd party liability and
personal Health and Injury insurances, including Repatriation.
He will be responsible for paying all expenses incurred
by his Technician and Assistants.
•
The list of Assistants can be amended until 10 (ten) days
before the first day of the Event.
• The Haute Voltige® Head
Office must receive all amendments to this application in
writing.
Validity
The Haute Voltige® Pilot Display
Authorisation is valid for one event and must be renewed
for each event.
Entry
fee and Payment
The Haute Voltige® Entry fee
for this application is set up at USD 1'000 per Pilot &
Technician and USD 1'000 per Assistant.
When not sponsored by Haute Voltige®,
all payments due to Haute Voltige®
are to be made via bank transfer upon receipt of an invoice
from the Haute Voltige® Head
Office which will indicate the amount and the terms of payment.
2 . PILOT DETAILS
Family
Name:
First
Name:
Address:
Tel:
Fax:
Mobile:
E-mail:
Blood
Group:
Person
& co-ordinates to contact in case of accident:
Date
of Birth:
Place
of birth:
Passport
Number:
Nationality:
Date of Issue:
Place of Issue:
Expiry Date:
I
have a Pilot Display Authorisation issued by CAA
of …
Number:
Date of issue:
Expiry date:
Minimum altitude:
I
have a Certificate of Aerobatic Competency issued
by: ….
Number:
Date of issue:
Expiry date:
Minimum altitude:
Pilot
licence type:
Pilot licence Number:
Issued by:
Expiry date:
Medical
Certificate type:
Issued by:
Date of issue:
Expiry date:
Radio
Telephony Operator Certificate No:
Issued by:
Date of issue:
(Log
book indications as per the date of the application)
Total number of flying hours:
Total number of aerobatic hours:
Total number of flying hours on the aircraft
type:
Number of aerobatic hours in the last 60
days before the date of this application:
Number of aerobatic hours in the last 30 days
before the event will have to be providedon
arrival at the event site
Please list your Personal Assistants if any:
FAMILY
NAME
FIRST
NAME
POSITION
3 . TECHNICIAN DOCUMENTATION
Family
Name:
First
Name:
Address:
Tel:
Fax:
Mobile:
E-mail:
Blood
Group:
Person
& coordinates to contact in case of accident:
Date
of Birth:
Place
of Birth:
Passport
nationality:
Passport
No:
Date
of Issue:
Place
of Issue:
Expiry
Date:
Aircraft
Maintenance Licence Type:
Number:
Delivered
by:
Date
of issue
Valid
until:
4.
AIRCRAFT DETAILS
4.1.
Number, type and registration (Please
tick the appropriate box)
4.2.
Aircraft Owner
The aircraft
above (Please
tick appropriate box)
Name:
Address:
Phone:
Fax:
E-Mail:
4.3.
Take-Off and Landing
The aircraft
above can use (Please tick the appropriate box and indicate
distances):
My aircraft can use grass runways:
Minimum length for take off: (..........m) -
Minimum length at
landing:(...........m) - 15m/50ft
rule
My aicraft can use concrete runways
only -
Minimum
length for take off: (..........m)
- Minimum length at landing:(...........m)
- 15m/50ft rule
Please attach copy of the pilot/aircraft handbook: take off and landing performances.
5.
DOCUMENTS
Copy of all the following documents have to be provided
with the application (updated originals will be provided
on site):
5.1. PILOT
-
Passport, more than 6 months validity
- Commercial Pilot Licence;
- Any valid CAA Pilot Display Authorisation or Certificate
of Aerobatic Competency;
- Medical certificate;
- Radio Station Licence Operator;
- Policies of Insurance indicating coverage, terms, conditions,
limitations and exclusions for:
-
personal 3rd party liability.
-
personal Health and Injury valid for
powered aerobatic competitions,
-
repatriation. Please indicate Capital Sums insured. 5.2. TECHNICIAN
- Passport more than 6 months validity;
- Aircraft Maintenance Licence;
- Travel, Health and Injury insurance, repatriation.
Please indicate Capital Sum insured:
5.3. AIRCRAFT
- Certificate of Airworthiness;
- Certificate of Registration;
- Radio Station Licence;
- Engine log book;
- Airframe log book;
- Ground assistance requirements;
- Insurance cover:
-
3rd Party liability. Please indicate
Capital Sum insured: (Bodily Injury and Damage to Property, a minimum
of coverage of USD5'000'000 is required).
Haute
Voltige® cannot be
held responsible for lack of cover or insufficient cover
-
Comprehensive insurance. Please indicate
Capital Sum insured:
-
For 2 seaters, please detail passengers insurance.
5.4. ASSISTANTS
- Passport more than 6 months validity;
- Travel, Health and Injury insurance, Repatriation.
6. PILOT AIRSHOW EXPERIENCE
Please indicate how many different public airshows
you have participated in (please indicate dates and
locations):
- during the last 12 months:
- during the last 6 months:
- during the last 3 months:
7. APPLICATION for the HAUTE VOLTIGE EVENT
7.1.
I, the undersigned, hereby apply for entering the Haute
Voltige® Event with all Technician
and Assistants listed above and to be placed under
my responsibility;
7.2.
I, the undersigned, hereby agree on behalf of myself and
everyone associated with my participation in the Haute Voltige®
Events to observe all the regulations in force at the Event
and a true spirit of sportsmanship.
7.3.
I, the undersigned,
hereby apply for a Haute Voltige®
Pilot Display Authorisation for the Event and an FAI World
Grand Prix Licence;
7.4.
I, the undersigned,
hereby confirm that I have read and understood the Haute
Voltige® Operating Regulations,
and that I will comply with their obligations;
7.5. Please tick the appropriate
box below)
I, the undersigned, hereby guarantee to be able to fund
all my expenses for participating in the Haute Voltige®
Event. My sponsors advertised on myself and my aircraft
should not be covered by any other commercial advertising. Please
name your sponsors:
I, the undersigned, hereby certify that I cannot fund my
own expenses and do not have a sponsor to fund my expenses
to participate in the Haute Voltige®
Event.
I hereby request full sponsorship from Haute Voltige®
and I confirm that myself, my aircraft and all my personnel
will be 100% available to Organisers of the Haute Voltige®
Event for commercial advertising.
7.6.
I, the undersigned, hereby certify the information on this
form is true and accurate and I understand that the above
information, if misrepresented or incomplete, may be grounds
for termination of my Haute Voltige Pilot Display Authorisation
and penalties.
7.7.
I, the undersigned, hereby certify that I will inform Haute
Voltige® in writing, of any change
in my medical status occurring in the period between the
day my medical certificate was delivered and the last day
of the Event. I understand and agree that the Haute Voltige®
Director has the right to withdraw my Haute Voltige®
Pilot Display Authorisation if I cannot provide a new medical
certificate valid until the end of the Event. Should I neglect
to inform Haute Voltige® in writing,
then I will not be entitled to make any claim against Haute
Voltige®, FAI, or the Event organisers
and accept to undertake all consequences of this negligence,
including reduction or cancellation or sponsorship monies.
Name:
Place:
Date:
Signature:
Please return the completed application form and your pilot
resume with photos to:
HAUTE VOLTIGE
FAI WORLD GRAND PRIX
5 Rue du Prieuré
2036 Cormondrèche
SWITZERLAND
Fax : +41 (32) 721 2009
E-mail : grand-prix@haute-voltige.com
