Complete the online Membership Form

RVHPA Membership Form

* = required field

Year*

Membership_type*

Local Pilot $60
Visiting Pilot $30

First Name:*

Last Name:*

Email:*

Confirm Email Address*

Mailing Address

Street*

City*

State*

ZIP*

Country (if foreign)

Phone (enter N/A if none)

Cell phone*

It is OK to share this number under current members on the website.

Home Phone

In Case of Emergency

Emergency Contact\'s Name*

Emergency Contact\'s Relationship*

Emergency Contact\'s Cell Phone (enter N/A if none)*

Emergency Contact\'s Home Phone

Your Glider(s) Make, Model, and Color

USHPA Membership Info & Ratings
Your USHPA info is on your USHPA membership card & can also be found at this link

USHPA #*

USHPA Expiration Date

PG Tandem Rating:

T1 T2 T3 Administrator

PG Instructor Rating:

Basic Advanced Observer Administrator

HG Tandem Rating:

T1 T2 T3 Administrator

HG Instructor Rating:

Basic Advanced Observer Administrator

Condition of RVHPA Membership
As a condition of RVHPA membership, I pledge to read and abide by all Woodrat Mountain launch and landing zone rules for Hunter and LongSword LZs and USHPA requirements. I also certify that I am a current USHPA member.

I agree*