National Stearman Fly-in Pre-Registration

REGISTRATION FORM

Use only for Stearman Pilots/Owners Arriving by Stearman Aircraft.
PERSONAL INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SRA #
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
May we post your Name, City and Email address on our pilot map?

YesNo
AIRCRAFT INFORMATION
N#
Model
C/N
Buzz #
Military Type
Date Manufactured
Engine (Specify Manufacturer & Horsepower)
Paint Scheme / Markings
Aircraft owner (if different than above)
Owners Address
City, State, Zip
AWARDS INFORMATION
New Restoration?

YesNo
If "yes", date of first test flight

MonthDayYear
Date
Restored by owner?

YesNo
If "no", name of restorer
Pilot in Command's age and birthday
Statute Miles Flown (Direct Home to Galesburg)
Home Airport Name & Identifier
Should be Empty:

2025 54TH national stearman fly-in pre-RegistRATION IS NOW OPEN!