HANG GLIDER PILOT RELEASE & REQUEST

I, THE UNDERSIGNED, HEREBY REQUEST PERMISSION to enter the premise of:
_________________________________________________________________________
(name of landowner and approximate location of site)

and participate in hang gliding on or over said premises. I have inspected the premises or will do so prior to my hang gliding there, and I know the risks and dangers involved in said activities and that unanticipated and unexpected dangers may arise during such activities, and I accept all risks and responsibility for injury to my person, death, and/or damage to property that may be sustained while engaged in hang gliding activities in and about the premises. _________(initial)

IN CONSIDERATION OF THE PERMISSION GRANTED TO ME to enter the premises and participate in stated activities, I do hereby, for myself and my heirs, administrators and assigns, release, remise, and discharge the owners and operators of said premises from all claims, demands, and causes of action of any sort, for injury to my person, death, or damage to property, during my presence on or over said premises due to negligence or any other fault. __________(initial)

I FURTHER DO HEREBY, for myself, my heirs, administrators and assigns, release, remise, and discharge the MOUNTAINEER HANG GLIDING ASSOCIATION and the UNITED STATES HANG GLIDING ASSOCIATION; their respective servants, agents, officers, and officials from all claims, demands, and causes of action of any sort, for injury to my person, death, and/or damage to property that may be sustained during my presence on or over said premises due to negligence of any other fault. __________(initial)

I CERTIFY THAT I HAVE READ AND UNDERSTOOD THE FOREGOING HANG GLIDER PILOT RELEASE AND REQUEST and that by my signature below I recognize this is a LEGAL AND BINDING CONTRACT and my voluntary participation in hang gliding and related activities is done entirely at my own risk. __________(initial)


SIGNED:_____________________________________________ DATE:___________

____________________________________________________
(Printed name)

I CERTIFY I HAVE WITNESSED THE SIGNATURE OF THE ABOVE-NAMED:

WITNESS:___________________________________________ DATE:____________

____________________________________________________
(Printed name)