| Select SSF FIRC from list |
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| Print your name exactly as it appears on your pilot certificate: |
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| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Email Address: |
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| Instructor Ratings Held: |
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| Total Pilot Time: |
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| Glider Pilot Time: |
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| Check the box to indicate you are using this clinic to renew: |
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| What Club or Commercial Operator do you fly with: |
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| What Soaring Texts do you use to Teach Soaring: |
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| How did you learn about this clinic? |
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| What other methods have you used to re-certify as a Flight Instructor? |
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| Please suggest items you would like to see posted on the SSF website |
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