Robinson Helicopter Company

COURSE ENROLLMENT

Please read the following before completing the enrollment form:

If paying with funds on account, please contact courses@robinsonheli.com to verify if funds on account will cover course fee before enrolling
Applications will not be processed without tuition.
Reservations and tuition is valid only for the pilot on confirmation letter and is not transferable.
Rescheduling must be received in writing at least 2 weeks of class date to avoid 50% penalty.

Cancellations received in writing at least 2 weeks of class date will incur 10% processing fee.
No refund will be issued for cancellations within 2 weeks of class date.
Refunds/credits will only be issued to original payment source.
“No shows” forfeit their tuition entirely.

COURSE SELECTION

Course*

Helicopter Model to fly in the course*

Minimum of 3 hours logged is required in model selected.

Preferred Course Date*

Alternative Course Date*

PERSONAL INFORMATION

First Name*

Middle Name

Last Name*

Phone Number*

Email*

Country*

State*

City*

Address*

ZIP Code*

EMERGENCY CONTACT

First Name*

Last Name*

Phone Number*

Email*

PILOT EXPERIENCE

Pilot Certificate Number*

Total hours logged in R66 Helicopters*

Total hours logged in R44 Helicopters*

Total hours logged in R22 Helicopters*

All helicopter hours logged*

Are you affiliated to a flight school?*

YesNo

Flight School Name

Robinson Dealer Name*

Government-issued ID*Please take a photo of your government-issued photo ID or upload photos.

Front side*

UploadRemove

Pilot's License*Please take a photo of your pilot's license or upload
photos.

Front side*

UploadRemove

Back side*

UploadRemove

ENGLISH PROFICIENCY

Are you fluent in English?*

YesNo

*If NO, you must arrive with an experienced English Interpreter with knowledge in helicopter/aircraft terminology - additional charge required

Promo Code

Final Price$----

* Please complete required fields.