AvAr Training Class Event Report

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Lance Barber, =================================================
2013 Aviation Archaeology Course Application
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Saturday, September 21, 8am-5pm, RMMA Terminal Bldg, Mt. Evans Room

Visit www.colahs.org for more details.
Contact Information:

Name ____________________________________________

Street Address __________________________________
City, State, ZIP Code ___________________________

Home Phone ______________________________________
Work Phone ______________________________________
E-Mail Address _________________________________

A minor of teenage age (i.e. 13 to 18) may attend if under the direct supervision of a legal guardian. This needs to be stated on the application for planning purposes. Each attendee must complete an individual application.

Course Fee is $99.00 per person. Applications will be accepted on a first come, first served basis. This fee is non-refundable and checks must be received with your application no later than September 14, 2013; and includes your one-year $30 annual membership in CAHS.

Make checks payable to:

North American Institute of Aviation Archaeology (NAIAA)
727 Rodgers Circle
Plateville, Colorado 80651

In order to graduate from the course, all you have to do is attend the one-day lecture/classroom instruction. If you want to receive official CAHS accreditation (in the form of a badge) you have to either:
1. Attend the official class graduation field trip, LaJunta Airport Expedition Oct 4-6, at least 1 day,
2. Attend any other CAHS AvAr field trip within the following 12 calendar months, or
3. Explore and document another crash site approved by the AvAr administrator, long with another accredited Field Agent or Instructor

Physical Limitations:

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Previous Experience:

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Interests:
Aviation Archaeology Subject Matter Interest you have:

___ Military Crash Sites ___ Civil Aircraft Crash Sites
___ Military Airfields ___ Early War Manufacturing Facilities
___ Missile Facilities ___ Early Navigation Facilities
___ Civil Airfields ___ Crew victims or survival and family histories

Person to Notify in Case of Emergency:

Name ____________________________________________

Street Address __________________________________

City, State, ZIP Code ___________________________
Home Phone ______________________________________

Work Phone ______________________________________
E-Mail Address _________________________________

Agreement and Signature:
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted into this course, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name (printed) _________________________________

Signature ______________________________________
Date ____________________________________________

Our Policy:
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in the Aviation Archaeology Course offered by the Colorado Aviation Historical Society.
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Colorado Aviation Historical Society

7711 East Academy Blvd.
Denver, CO 80230-6929

Office: 303-341-7711