NAME OF SITE:	Southwest Site (RIGHT OF WAY)
LOCATION:	Avonmore, PA.
OWNER/AGENT:	JEFF HOSTLER

With this document I hereby agree to release all parties (whether owner, lessor, agent or officer) connected with this site or right of way, and any party thereof from liability, claim, or demand resulting from my use of this location for hang gliding or any other purpose.

Under no circumstances, however caused, will I retreat from this agreement to forfeit all claims to incurred liability. I also agree to conform to all rules and regulations pertaining to the use of this site established by its owners or trustees.

I further testify that I fully understand the responsibility incurred by me pertaining to the use of this site.

I further testify I have undergone training with a hang glider and am capable of safely flying said craft.

PRINTED NAME:____________________________________

SIGNATURE:_______________________________________

DATE AND TIME:_________________USHGA#______________

THIS FORM MUST BE NOTARIZED and signed in the presence of a notary.

Subscribed and sworn before me this

______day of_________________,__________

_______________________________________
NOTARY PUBLIC

_________________________________________________
NOTARY'S ADDRESS

My commission expires_______________,__________