AGREEMENT & RELEASE OF LIABILITY AND MEDICAL STATEMENT
1. VOLUNTARY PARTICIPATION.
I _____________________________________
acknowledge that I desire to participate in flying
& soaring activities
and have voluntarily applied to engage in such activities at Sky Sailing, Inc at
Warner Springs Airport on the Warner Springs Ranch, and/or elsewhere.
2. ASSUMPTION OF RISK: I
AM AWARE THAT SUCH FLYING &
SOARING ACTIVITIES MAY CONSTITUTE HAZARDOUS ACTIVITIES. THIS IS A LEGAL DOCUMENT.
BY SIGNING IT I AM WAIVING IMPORTANT LEGAL RIGHTS, WHICH I MIGHT
OTHERWISE BE ENTITLED TO UNDER THE LAW. I
AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF ANY DANGER OR
RISKS INVOLVED. I HEREBY AGREE TO ACCEPT ANY & ALL RISKS OF INJURY OR DEATH,
AND VERIFY THIS STATEMENT BY PLACING MY INITIALS HERE: _________, _________.
3. RELEASE. As
consideration for being permitted by Warner Springs Ranch, Warner Springs
Ranchowners Association,
Warner Springs
Partnership, the
owners of Warner Springs
Ranch (hereinafter collectively
referred to as "Warner") or Sky Sailing,
Inc (hereinafter collectively referred to as "SSI") and
their related or affiliated entities or persons, directors, officers, employees,
contractors or agents, to participate
in these activities and use
their facilities and property, I hereby agree
that I, my assignees, heirs, distributees, executors, guardians, and
legal representatives, will
not make a claim against, sue or
attach the property of Warner or Sky
Sailing for injury, damage or
any other liability
of any nature (i) resulting from the negligence or acts
of Warner or
SSI, or their related or affiliated
entities or persons
or employees,
contractors or agents, as a result
of my participation
in the
flying and soaring activities
or any
other activities at Warner Springs Airport or (ii) arising out of the
flying and soaring activities,
flight operations or any other activities at
the Warner Springs Airport.
I hereby release Warner and SSI from all actions, claims, or demands that
I, my assignees, heirs, distributees, executors, guardians, and legal
representatives now have or may hereafter have for injury, damage and any other
liability of any nature (i)
resulting from my participation in the flying and soaring activities or any
other activities at Warner Springs Airport or
(ii) arising out of the flying and soaring activities, flight ops or any
other activities at the Warner Springs Airport, and/or elsewhere.
4. ACKNOWLEDGMENT OF OPERATOR.
I understand and acknowledge that the operator of the flying and soaring
activities, SSI, is not related to or affiliated with Warner.
I agree that I am doing business solely with Sky Sailing, Inc and not
with Warner.
5. KNOWING AND VOLUNTARY EXECUTION.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.
I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN SSI,
WARNER, AND MYSELF AND SIGN IT OF MY OWN FREE WILL.
BY SIGNING THIS AGREEMENT, I ALSO CERTIFY THAT I HAVE NO KNOWN PHYSICAL
OR MENTAL DEFECT WHICH PREVENTS ME FROM PARTICIPATING IN OR PILOTING ANY FLYING
OR SOARING ACTIVITIES. I CERTIFY THAT I AM OVER THE AGE OF 18, OR WITH SIGNATURE
OF GUARDIAN.
Executed at Warner Springs, California or ________________________
on _____/_____/____.
Releasor:
NAME PRINTED OR TYPED
SIGNATURE
________________________________________
_________________________________________________
________________________________________
_________________________________________________
DECLARATION OF WITNESS:
I certify that the above Releasors acknowledged
in my presence that
[he/she] had
read and
fully understood the meaning and consequences of the foregoing release,
and signed it in my presence.
"DID YOU READ AND
UNDERSTAND THIS WAIVER?"
Witnessed :____________________________________________ _____/_____/_____
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(760) 782-0404
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