Dispatch Sheet - Licensed Pilots

N Number
Member #
Date:
Pilot's Name
Current Phone# BFR Date
Proposed Departure Time
Proposed Return Time & Date
Local Flight Route of Flight
List Airports at which you may be landing:
Cross-Country Flight (over 30nm) VFR IFR
All Cross-Country Flights MUST BE dispatched by Rich or Steve
Destination
Alternatives
List any other Airports at which you may be landing
Sunset Time Return must be 1/2 hour before Sunset  
Phone Contact @ Destination
Fuel Log
Fuel required for Climb
Fuel required for Cruise
Fuel required for Appr & Lndg
Fuel required for Alternate
Reserve Fuel
Total Fuel Required
Weather for Cross-Country Flights
Clouds (Enroute)
Clouds (Destination)
Visibility
Winds Aloft
Surface Winds
Pilot, Please initial the following:
_____
 Arrival at Destination, and return flight to be no later than 1/2 hour prior to sunset.
_____
 Catalina Flights require a special checkout, and CG approved floatation gear for all aboard.
_____
 Airports above 3000' require special checkout.
_____
 Call Golden State just before taking off for your return flight to Gillespie.
_____
 Flight Plans must be filed with FSS for all flights more than 50nm from point of origin.
Pilot and Passengers by signing below agree to indemnify and hold Golden State harmless in case of accident involving pilot error.
Pilot's Signature: ______________________________________________________
Date
Passenger #1
Name Phone
Passenger's Signature:________________________ If under 18, Parents Signature:_________________________
Passenger #2
Name Phone
Passenger's Signature:________________________ If under 18, Parents Signature:_________________________
Passenger #3
Name Phone
Passenger's Signature:________________________ If under 18, Parents Signature:_________________________
Dispatched by: _______________________ Must be signed by Steve or Rich for all Cross-Country Flights.