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Liability Release, Waiver, Discharge and Covenant Not to Sue.

I realise and acknowledge that sport parachuting and/or skydiving is an extreme sport, which can sometimes result in injuries or death. 

I also realise and acknowledge that flying to altitude has the same risks. Nevertheless, I want to take part in sport parachute and/or skydiving jumps organised by GRNL FLYING COSTA BRAVA S.L. / Fly Warriors and I assumes all the risks and hazards. 

I am a licensed skydiver and I acknowledge I am responsible for my own safety at all times during skydiving activities.

I irrevocably renounce the right to pursue or to prosecute GRNL FLYING COSTA BRAVA S.L. / Fly Warriors or any of its team members, coaches or volunteers for any damages in regard to personal injury or death sustained by me as a result of my participation in sport parachute and/or skydiving. 

This waiver, release and discharge, is binding myself in favour of GRNL FLYING COSTA BRAVA S.L. / Fly Warriors and its team members, extend ground crew, and any other person working and volunteering for or with GRNL FLYING COSTA BRAVA S.L. / Fly Warriors. 

This waiver of liability is binding on my heirs, legal representatives and anyone else who may claim on my behalf. I do waive rights to lawsuits whatever the reason or grounds for my injuries or death are, including negligence from the above mentioned persons.

I hereby give GRNL FLYING COSTA BRAVA S.L. / Fly Warriors permission to use all photos and video footage taken of me during the period of this event. “Use of photos and video footage” is understood as; every form of editing, multiplication, distribution and/or screening, as well as the use of footage in compilations related to GRNL FLYING COSTA BRAVA S.L. / Fly Warriors portfolio. I explicitly declare to refrain from claiming rights of either published or unpublished material.

INSURANCE

I hereby certify that I have a third party liability insurance that is valid for sport parachute and/or skydiving and that it is valid in Spain during the full duration of my stay.

I hereby certify that I have medical insurance or travel insurance that covers medical costs, including repatriation, that is valid for sport parachuting and/or skydiving and that it is valid in Spain during the full duration of my stay.

MEDICAL STATEMENT FOR PARACHUTE JUMPING

I hereby certify that I am not under any treatment or do not suffer from any physical infirmity or uncontrolled chronic ailment or injury of any nature, that I have normal vision or wear corrective lenses. I hereby certify that I am physically and psychologically fully capable of practicing sport parachute and/or skydiving jumps. I furthermore agree to never do any sport parachute and/or skydiving jumps while my abilities are impaired by alcohol or any drug.

I hereby certify that I have completely and fully understood all the contains of this form.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Passport / ID
  
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Valid file types: JPG, GIF, PNG, and PDF
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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