Standard 623 - Appendix A - Participant’s Statement - Canadian Aviation Regulations (CARs)

Content last revised: 2004/12/01

(amended 2004/12/01)

DATE:

Page     of    

 

This is to certify that I have read and thoroughly understand and will comply with all the Conditions of Authorization contained in the Special Flight Operations Certificate - Special Aviation Event issued for (Name of Special Event)

  Participant's Name Participant's Signature
1.    
2.    
3.    
4.    
5.    
6.    
7.    
8.    
9.    
10.    
11.    
12.    
13.    
14.    
15.