Enrollment Form
 
 
* Family (last) Name:

* Given (first) Name:

* Address:
* City:
* State/Province:
Country:
Postal Code:
Phone:
Fax:
* E-Mail:
* Weight:
 
Current Certificates
& Ratings Held
 
Country in which
license was issued:
Total Hours Logged:

* Is/Are your license(s) current?

Yes

No

No license


* Last current valid license date

 


* What course are you interested in?

* When do you plan to start your training?

 

* Are you interested in receiving study materials?

Yes

No

* English Proficency:
(Note: FAA regulations state that you must be able to understand, read, AND write in English.

University
High School
Second Language
Native Language

* How did you find our Website?

* Housing Required:
Palm Beach Helicopters can assist in making accommodation reservations.

None
Room
House
Apartment
Hotel
Motel

NOTE:
If your flight experience was obtained while enrolled in another flight school and you desire to qualify for full credit, obtain a record (transcript) of training from the school you attended. Final credit awarded will be based on a review of the pilot's log book and demonstrated flight proficiency as evaluated by the Chief Instructor when you register at the school.


COURSE DURATION AND TUITION
Course duration and total cost vary upon student’s proficiency in the aircraft and with his study skills. Palm Beach Helicopters does not guarantee a student a license. The pilot must be able to demonstrate abilities and pass an independent FAA flight test for most FAA certifications.

PAYMENT
Payment in advance for each course is due prior to receiving your initial instruction. Payment may be cash, travelers cheque, a check in U.S. funds drawn on a U.S. bank, international money order wire transfer, VISA or MasterCard. Personal checks must clear our bank prior to being accepted as payment. After deposit, a personal check may take ten working days to clear. To avoid a delays with your training, payment should be either certified, cashier's or an official bank check.

REFUND
A student may cancel without penalty or obligation within five business days of signing an Enrollment Agreement. If a student/customer cancels after five days, but before starting the course, all monies paid are refunded, minus a registration fee of 15% of the Enrollment Agreement price for the course, or $150.00, whichever is less.

If a student cancels and withdraws for any reason after beginning the course, Palm Beach Helicopters will refund payments on behalf of the student to assure total customer satisfaction. The refund amount, prorated at estimated hourly rates, will be determined by deducting the number of hours of instruction actually completed from the total number of instructional hours in the course. In other words, a student who withdraws after starting training will be charged for only the instruction received at hourly rates. The balance will be refunded within thirty business days of cancellation. Books, supplies, block time hour building and other non-instructional fees for services received are not part of the refund computation.

Additional Questions, Comments, Suggestions

Pilot Aeronautical Experience

 

Total Flight Experience

Cross Country

Night

Instrument

Flight
Simulator

 

Airplane

Helicopter

Airplane

Helicopter

Airplane

Helicopter

Airplane

Helicopter

Dual Instruction

Solo or PIC

What Class FAA Medical Certificate do you currently have?

Date of Medical Certificate:

What are your limitations?
(i.e. corrective lenses)

 

* (items with an asterisk denote required fields)

Call Toll Free
1-866-527-0601

 
 
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