Faa Form 7711-2 - Application For Certificate Of Waiver Or Authorization Page 3
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3ITEMS 9 THROUGH 14 TO BE FILLED OUT FOR AIR SHOW/AIR RACE WAIVER REQUESTS ONLY.
9. The air event will be sponsored by:
10. Permanent
House number and street or route number
City
State and ZIP code
Telephone No.
mailing
address
11. Policing (Describe provisions to be made for policing the event.)
12. Emergency facilities (Mark all that will be available at time and place of air event.)
Physician
Fire truck
Other - Specify
Ambulance
Crash wagon
13. Air Traffic control (Describe method of controlling traffic, including provision for arrival and departure of scheduled aircraft.)
14. Schedule of Events (include arrival and departure of scheduled aircraft and other periods the airport may be open.)
Hour
Date
Event
(a)
(b)
(c)
If sufficient space is not available, the entire schedule of events may be submitted on separate sheets, in the order and manner indicated above.
The undersigned applicant accepts full responsibility for the strict observance of the terms of the Certificate
Please Read
of Waiver or Authorization, and understands that the authorization contained in such certificate will be strictly
limited to the above described operation.
15. Certification - I CERTIFY that the foregoing statements are true.
Date
Signature of Applicant
Remarks
FAA Form 7711-2
(6-86) Supersedes Previous Edition
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Parent category: Business