Flight Release

Pilot Information

Pilot Name:

Departure Time:

Fitness for Flight

I – Illness
M – Medication
S – Stress
A – Alcohol
F – Fatigue
E – Emotion

IMSAFE check complete

Personal Minimums

Max Continuous Windkts

Max Gust Factorkts

Max Total Windkts

Max Crosswindkts

Example: 15G22 would be 15 knots continuous wind with a gust factor of 7 knots, and total wind of 22 knots. If any one of these items is beyond your minimums, you should not fly.

Minimum Ceilingft

Minimum Visibilitysm

Reminder! Minimums are for the current flight. For example, you may have different values for a cross country as opposed to local pattern work.

Enroute and Local Weather Forecast During Flight Time

Summarize relevant weather patterns/events, and plans to avoid/mitigate them

Lowest Cloud Baseft

Lowest Visibilitysm

Acceptable clearance over terrain?

Weather Source

Have you checked NOTAMs?

Have you checked TFRs?

Airport Forecast During Flight Time

Consider conditions at both departure and arrival times if returning to SFM

Airport identifier

Intended Runway(s)

Runway Lengthft

Wind Direction° M

Max Wind Speedkts

Max Crosswindkts

Need to calculate crosswind component?

Acceptable Length/Wind?

Are the runway conditions acceptable (ice, snow, water, etc.)?

Fuel, Weight and Balance

Max Expected Flight Timehrs

Fuel Required - include 1hr reservegal

Total souls on board

Takeoff Weightlbs

CG Arm

Maneuvering speedkts

Weight and CG within limits?

IFR

Is this flight conducted under IFR?

Pilot Signature

Signing here confirms that you (the renter) have checked all pertinent information to the flight, are attesting that the information above is accurate, you will comply with all SMA operating procedures, and have all of your required documents (pilot certificate, medical and government ID) on hand and attest that you are legal and safe to conduct this flight.