Digital Junior Level 1 HPR Certification Form

The NAR JUNIOR HPR PARTICIPATION PROGRAM APPLICATION Form is used to fill out the following digital form. Your answers will be checked with both the paper Junior HPR Certification Form and with your HPR certification team member. A picture of your paper HPR Certification Form must be attached to this form to considered a valid submission. The answers you give on this form must match the answers of your paper HPR Certification Form.

Note: If you are having issues with the digital form, try reducing the file size of the Junior HPR Participation Program Application and Junior hpr Level 1 Exam Answer Sheet that you are attempting to upload. The maximum combined file upload size is 8 meg.

APPLICANT INFORMATION

(Completed by Applicant and Adult Guardian.)

Applicant Name

Address

City

State

Zip Code

Birth Date (Month/Day/Year)

Phone

Email Address

NAR Number

Membership Expiration Date (Month/Day/Year)

I certify that I am a member in good standing of the National Association of Rocketry. I am 14 years of age or older. I understand that I must comply with all applicable federal, state, and local laws or regulations during and after this certification attempt.

Applicant—I certify the above is true and correct:
I AcceptI Decline

Legal Guardian—I certify the above is true and correct:
I AcceptI Decline

Date (Month/Day/Year)

FLIER INFORMATION

(Completed by Flier of Record.)

NAR Certified Flier of Record

NAR Number

HPR Cert. Level

JUNIOR CERTIFICATION HPR LEVEL 1 CHECKLIST

Preflight:
Junior HPR Level 1 Written Exam passed (within one year) on (Month/Day/Year):

Motor Used (At least one motor must be a H or I impulse motor.)

Motor is certified.
YesNo

FAA COA Activated.
YesNot Required

Safety checklist completed (Located on back of paper form).
YesNo

Flight:

Flight was stable
YesNo

Recovery system deployed
YesNo

Safe recovery
YesNo

Post Flight:

Verify that no major damage is present. Minor impact damage or "zipper" is acceptable.
YesNo

Verify motor present
YesNo

Successful Flight?
YesNo

CERTIFICATION AFFIDAVIT

APPLICANT NOTE: Your certification member will be contacted to confirm your Junior Level 1 status.

CERTIFICATION TEAM MEMBER(S)

APPLICANT NOTE: Your certification team member(s) will be contacted to confirm your Junior Level 1 status.

Name 1

NAR #

Membership Expires (Month/Day/Year)

HPR Cert. Level

Email address

NOTE: For those certifications signed off by a single Level 2 or Level 3 Certification Team member, enter "N/A" into all of the second Certification Team member fields.

Name 2

NAR #

Membership Expires (Month/Day/Year)

HPR Cert. Level

Email address

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Note: If you are having issues with the digital form, try reducing the file size of the Junior HPR Participation Program Application and Junior hpr Level 1 Exam Answer Sheet that you are attempting to upload. The maximum combined file upload size is 8 meg.

NAR JUNIOR HPR PARTICIPATION PROGRAM APPLICATION (SIDE 1)
(Your HPR Certification Form that was filled out the day of your flight must be attached here.)

NAR JUNIOR HPR PARTICIPATION PROGRAM APPLICATION (SIDE 2)

NAR JUNIOR HPR LEVEL 1 EXAM ANSWER SHEET

Note: If you are having issues with the digital form, try reducing the file size of the Junior HPR Participation Program Application and Junior hpr Level 1 Exam Answer Sheet that you are attempting to upload. The maximum combined file upload size is 8 meg.