Please complete the following information to register for an upcoming workshop. 

Privacy Statement

Chesapeake Aviation Training will make every attempt to keep all information private and will never intentionally share personal information without your prior approval.  The information you provide below is for internal use only and to contact you in the event of any changes or cancellations to the posted schedule.

* Denotes a required field

Attendee Name:  *

Billing Name (if different from above): 

Address:  *

City:  *      State:  *

Zip Code: *      Country: *

Phone (include area code):  * (please use format 555-555-1212)    

Alternate Phone (include area code): 

E-mail Address:  * (required for confirmation)

Workshop Title & Location:  *

Cancellation Insurance (additional $75):    Yes     No    Do I need cancellation insurance?  

Are you a certificated flight instructor?     Yes       No 

Are you flying to the workshop?      Yes   or    No

Do you have your instrument rating?       Yes   or    No

List any special dietary requests (e.g., vegetarian, low carb): 

How did you hear about the workshop?  *

Payment methods accepted:     Check   or    Credit Card (Visa or MasterCard only please)

       

Send e-mail to or call 803-802-2591 with questions about the services and/or products offered by Chesapeake Aviation Training, Inc..  
Copyright © 2003-2008 Chesapeake Aviation Training, Incorporated.  All rights reserved.
Last modified: 04/12/08