Membership Application

Fields marked with * are required
You have to have a current AMA Membership before submitting this form
There is no need to submit proof of your AMA membership. A club officer will check its validity directly with AMA based on your AMA membership number.
You must have a current FAA Registration (Click here for help with filling out the FAA Registration!)
You must have proof of TRUST test completion.
Membership fees can be paid:
- Via Pay-Pal on the page shown after submitting this form (preferred)
- From the PayPal payment page (preferred)
- By check to the club treasurer. MAIL TO: John Banks, 20 Lantern Lane, Niantic CT 06357

Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

AMA No. *

DOB: *

AMA Class *

Full Park Pilot Youth Life

FAA No. *

Categories you fly: *

Airplane Helicopter Gider Multi-Rotor

Are you an instructor? *

Yes No

Do you need an Instructor? *

Yes No

Other Interests or programs you'd like to see implemented: *

RC Propbusters - Membership Application/Renewal