Tripoli Research Altitude Record Form
Name__________________________________ Tripoli # ___________________________
Address________________________________ Area Code _____ Phone # ____________
City, State, ZIP_____________________________________________________________
EMail Address__________________________________________
Altitude Achieved_________________________ Date ______________________________
Record Class (Circle appropriate motor class)
| 24mm | any | E | |||
| 29mm | any | F, G, H | |||
| 38mm | Under 12" | I | |||
| 38mm | Over 12" | J | |||
| 54mm | Under 12" | J | |||
| 54mm | 12" - 24" | K | |||
| 54mm | Over 24" | L | |||
| 75mm | Under 26" | L | |||
| 75mm | Over 26" | M | |||
| 98mm | Under 29" | M | |||
| 98mm | 29" - 48" | N | |||
| 98mm | Over 48" | O | |||
| 5" | any | O, P | |||
| 6" | Under 80" | P | |||
| 6" | Over 80" | Q |
Launch Information:
Name of Launch _________________________ Launch Organizer ___________________
Date of Launch __________________________ Place of Launch ____________________
Elevation Above Sea Level _________________ Temperature at Launch _______________
Mass Rocket: Gross ___________________ Empty _______________________
Total Rocket Length: ___________________Diameter: _______
Method of Altitude Verification: ____ Optical Tracking ____Altimeter ____ Other
For optical tracking only: Baseline Length________
Tracker 1 Az____ Elev_____ Tracker 2 Az_____ Elev____
Reduction Method________________ Closure %_________________
Use separate sheet of paper to explain reduction method if necessary..
For altimeters only: Manufacturer #1________________________________
Model___________________________
Manufacturer #2________________________________
Model________________________
Reported Accuracy_______________
Date of Purchase_______________ Flown Altimeter Before? ( Y / N )
Other: Attach separate sheet of paper detailing equipment and method used.
Signatures:
The individual listed below certifies that the record attempt successfully deployed the recovery device(s) and had a safe descent.
RSO Name_______________________ TRA #________ Signature_________________ Date_________
The individuals listed below certify that the motors listed above were the ones used in the record attempt and the altitude obtained by optical tracking or an altimeter is accurate to the best of his/her knowledge. The witnesses or launch official #2 can be any Tripoli member who observed the preparation and launch of the rocket. The applicant must be a current Tripoli member. Both must validate altitude.
Name _______________________ TRA #________ Signature __________________ Date___________
Name _______________________ TRA #________ Signature __________________ Date____________
Name _______________________ TRA #________ Signature __________________ Date____________
Photograph of Rocket Included? ( Y / N ) Required for all official record attempts
Drawing with Dimensions Included? ( Y / N) Suggested, but not required.
A filing fee of $5.00 (make checks payable to "Tripoli") must be included with this form. Additional information may be requested concerning the record attempt before the flight is recognized as a record. Including a photograph of the rocket is required and a drawing or diagram is encouraged. This form should be postmarked no later than thirty days after the date of the record attempt and sent to the Tripoli Contest and Records Committee at the address below.
Tripoli Contest and Records Committee
Tom Rouse
7170 Wooded Lake Dr. Dr.
San Jose, Ca. 95120
(Copy this form, as many times as neccessary, for your use.)