Student Pilot – 6 months (KSH 1500)_0ld

First and Last Name

Date of Birth (YYYY-MM-DD)

Phone

Nationality

Instructor’s / Mentor’s Name

Next of Kin

Do you have Rescue.co Insurance Cover YES/NO ?

Membership Payment Options:

MPESA: KSH 1500 : Business Nr: 516600 Account Nr.: 445622

Mpesa Code

Other Details

Rescue.co are the most reliable fast response Medivac provider in Kenya and support Paragliding and High Altitude Sports.

If you have any issues submitting the form, or haven’t received confirmation please reach out to: +254 704 913791 (whatsapp)