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Licensed-Student Skydiver Waiver

You will need a Valid Photo ID at check in. The signature on the ID must match the waiver signature.

TODAY'S DATE: September 25, 2018

WARNING!

I UNDERSTAND THAT SKYDIVING, PARACHUTING, FLYING AND ALL OF ITS RELATED ACTIVITIES ARE DANGEROUS AND THERE ARE RISKS INVOLVED IN YOUR PARTICIPATION. I CAN BE SERIOUSLY, CATASTROPHICALLY, AND PERMANENTLY INJURED, EMOTIONAL OR PHYSICAL, DISFIGURED, OR EVEN KILLED AS A RESULT OF MY PARTICIPATION IN SKYDIVING, PARACHUTING, FLYING OR ALL OF ITS RELATED ACTIVITIES. I, AS AN INDIVIDUAL PARTICIPANT, REGARDLESS OF EXPERIENCE, HAVE FINAL RESPONSIBILITY FOR MY OWN SAFETY. I FURTHER UNDERSTAND THERE IS NO LIABILITY INSURANCE AVAILABLE TO RELEASED PARTIES AS DEFINED IN THE AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK COVERING THESE ACTIVITIES.

I am not under the influence of alcoholic beverages, I have not ingested any illegal substances within the past 24 hours, nor have I taken any prescription medication which may affect my judgment or ability to perform. I agree not to jump in the future under the influence of alcohol or other drugs. 

I Agree

I have read the attached Agreement, Release of Liability and Assumption of Risk; I understand that it is a legal contract binding on me. I understand what it says. I intend to be bound by what it says and I know that when I sign it, I give up important legal rights. 

CONTRACT AGREEMENT, RELEASE OF LIABILITY, & ASSUMPTION OF RISK

IN CONSIDERATION of being permitted to utilize the facilities and equipment of CONNECTICUT PARACHUTISTS, INC., (and its associated entities and facilities) to engage in parachute activities, ground instruction, flying and related activities, skydiving, freefall and/or tandem jumping, hereinafter collectively referred to as Skydiving Activities, as defined in this contract.  I HEREBY AGREE AS FOLLOWS:

1.   I understand I am not required to engage in Skydiving Activities, but if I desire to do so, I am not required to jump at CONNECTICUT PARACHUTISTS, INC.  I understand there are other drop zones within a 150-mile radius of the City of Ellington.  Those drop zones are listed in the phone book or can be located online. I FURTHER UNDERSTAND I MAY TAKE THIS DOCUMENT TO MY PERSONAL ATTORNEY FOR REVIEW. 

 
I ELECT NOT TO DO SO. 
  

2. PARTIES INCLUDED: I understand that this Agreement, Release of Liability, and Assumption of Risk includes but is not limited to CONNECTICUT PARACHUTISTS, INC., and any of its officers, board members, and shareholders, its or their agents, customers, associated entities, employees, volunteers, pilots, instructors, load organizers, independent contractors, the owners of the aircraft (which shall also include but not be limited to airfoils, helicopters, and balloons), JR's Sky Inc.,DESERT SAND AIRCRAFT LEASING, the owners of any land utilized for Skydiving Activities, adjacent property owners, the United States Parachute Association and its members, anyone working with or for CONNECTICUT PARACHUTISTS, INC., including independent contractors and/or any manufacturer of, owner or entity charged with the maintenance of any piece of equipment which I may use or am using or is in any way, shape or form being used in connection with my Skydiving Activities at the time of my INJURY, EMOTIONAL OR PHYSICAL, or DEATH and anyone involved in any way, shape, form or manner in my Skydiving Activities, specifically including but not limited to tandem or experimental test parachute jumping to include tandem parachute jumping, hereinafter collectively referred to in this Agreement, Release of Liability and Assumption of Risk as RELEASED PARTIES. 

I Agree

3. The term RELEASED PARTIES is expanded to include all parties mentioned anywhere in the body of this Agreement, Release of Liability, and Assumption of Risk by name or by category, all vendors, manufacturers, suppliers or owners of materials or equipment used for Skydiving Activities, including but not limited to the manufacturers of the equipment, its employees, directors, officers and shareholders, and all associated entities, shareholders, partners, employees, independent contractors and all other persons or entities in any way, shape or form associated with any entity mentioned, either specifically, by category or by implication. 

I Agree

4. I understand that this Agreement, Release of Liability, and Assumption of Risk is a legally binding contract between myself and the entities described herein as RELEASED PARTIES and certify that I am of legal age and under no legal disability that would prevent me from entering into a binding contract.  I have read, understand and intend to be bound by all of its terms. 

I Agree

5. RISKS CONTEMPLATED: This Agreement, Release of Liability, and Assumption of Risk is made in contemplation of all Skydiving Activities, which, for purposes of this Agreement, Release of Liability, and Assumption of Risk, shall include but not be limited to, all occurrences contemplated or not contemplated, foreseen and unforeseen, likely or unlikely to occur, including but not limited to, instruction, parachute jumping, tandem or experimental test parachute jumping, ground instruction, flying and related activities, the exit from the aircraft, skydiving, freefall, canopy opening, time under the canopy, the landing, including but not limited to crash landings, either under canopy or not, inside or outside the aircraft, equipment malfunctions of any kind, any rescue operations or attempts by RELEASED PARTIES, whether on or off the designated landing area or any facilities used by RELEASED PARTIES, ground transportation provided to me by any entity in any way associated with RELEASED PARTIES and any activity whatsoever in any way, shape, form or manner connected with my Skydiving Activities or my presence on or near the facility and grounds of RELEASED PARTIES, or any location which is used for my Skydiving Activities.  This includes any activity which may or does or may be claimed to cause or contribute to my INJURY, EMOTIONAL OR PHYSICAL, or DEATH, even if caused directly or indirectly by negligence or other fault, which terms shall include, but not be limited to, gross negligence and ordinary negligence on the part of RELEASED PARTIES.  These risks shall, for purposes of this Agreement, Release of Liability, and Assumption of Risk, be included within the scope of Skydiving Activities. 

I Agree

6. NEGLIGENCE: The term negligence as used anywhere in the body of this Agreement, Release of Liability, and Assumption of Risk shall include, but not be limited to, gross negligence, ordinary negligence and/or willful, wanton or reckless conduct.

I Agree

7. I am aware that Skydiving Activities are inherently dangerous and may result in INJURY, EMOTIONAL OR PHYSICAL, or DEATH and I agree that the unforeseen may happen and no one can delineate all risks or possibilities of error.   Therefore, I specifically include in this Agreement, Release of Liability, and Assumption of Risk, any INJURY, EMOTIONAL OR PHYSICAL, or my DEATH resulting from any occurrence, whether foreseen or unforeseen, and whether contemplated or not contemplated, which in any way shape or form is in any way connected with my Skydiving Activities and/or my presence on the premises used for my Skydiving Activities or any other place or entity connected with RELEASED PARTIES, even if caused by the negligence or fault of RELEASED PARTIES. 

I Agree

8. PARTIES BOUND BY THIS AGREEMENT: It is my understanding and intention that this Agreement, Release of Liability, and Assumption of Risk be binding not only on myself, but on anyone or any entity, including but not limited to my estate and my heirs and anyone or any entity that may be able to or does sue because of my INJURY, EMOTIONAL OR PHYSICAL, or DEATH, including the individual or entity paying for my Skydiving Activities, if other than myself.  It is further my understanding and agreement that this Agreement, Release of Liability, and Assumption of Risk is intended to, and does in fact, release RELEASED PARTIES from any and all claims or obligations whatsoever, foreseen and unforeseen, contemplated and not contemplated, arising in any way from my participation in Skydiving Activities, even if caused by the negligence or other fault of RELEASED PARTIES. 

I Agree

9. RELEASE OF LIABILITY: I hereby release and discharge RELEASED PARTIES from any and all liability, claims, demands, or causes of action that I or any person or entity may have for my INJURY, EMOTIONAL OR PHYSICAL, or my DEATH or other damages arising out of my participation in Skydiving Activities, even if caused by negligence or other fault of RELEASED PARTIES.

I Agree

10. COVENANT NOT TO SUE: In exchange for good and valuable consideration, including but not limited to the ability to participate in Skydiving Activities, the sufficiency of which is hereby acknowledged, I further agree that I, MY ESTATE OR ANYONE OR ANY ENTITY ACTING ON MY BEHALF OR ON BEHALF OF MY ESTATE WILL NOT SUE OR MAKE CLAIM, WHETHER AT LAW, EQUITY, OR OTHERWISE, AGAINST RELEASED PARTIES for damages or other losses, including my INJURY, EMOTIONAL OR PHYSICAL OR DEATH, sustained as a result of my Skydiving Activities, even if caused by negligence or other fault of RELEASED PARTIES.  I further agree that I, MY ESTATE OR ANYONE OR ANY ENTITY ACTING ON MY BEHALF OR ON BEHALF OF MY ESTATE, WILL NOT INITIATE OR ASSIST IN THE PROSECUTION OF ANY CLAIM FOR DAMAGES OR CAUSE OF ACTION WITH I, MY HEIRS, EXECUTORS, OR ADMINISTRATORS HEREAFTER MAY HAVE BY REASON OF INJURY TO MY PERSON OR PROPERTY ARISING FROM THE ACTIVITIES CONTEMPLATED BY THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK.

I Agree

11. INDEMNIFICATION AND HOLD HARMLESS: I also agree to INDEMNIFY AND HOLD RELEASED PARTIES HARMLESS from all claims, judgments, disbursements, and costs, including but not limited to reasonable attorneys fees, and to reimburse RELEASED PARTIES for any expenses whatsoever incurred in connection with any action or lawsuit brought as a result of my participation in Skydiving Activities, including but not limited to actions brought by myself or on my behalf or on behalf of my estate, including but not limited to repayment to RELEASED PARTIES of any judgments obtained against or collected from RELEASED PARTIES, even if RELEASED PARTIES are claimed or found to be negligent or otherwise at fault. 

I Agree

12. ASSUMPTION OF RISK: I understand and acknowledge that Skydiving Activities are inherently dangerous and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR PERSONAL INJURY, EMOTIONAL OR PHYSICAL, SUSTAINED WHILE PARTICIPATING IN SKYDIVING ACTIVITIES, WHETHER SUCH RISK IS FORESEEN OR UNFORESEEN, CONTEMPLATED OR NOT CONTEMPLATED, AND WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER FAULT OF RELEASED PARTIES, including but not limited to equipment malfunction from whatever cause, inadequate training, any deficiencies in the landing area, rescue attempts, the weather (including but not limited to wind and cloud conditions), bad landings, or any other cause whatsoever, including but not limited to those set forth in other paragraphs of this Agreement, Release of Liability, and Assumption of Risk, even if those INJURIES, EMOTIONAL OR PHYSICAL, or my DEATH are caused by the negligence or any fault of RELEASED PARTIES. 

I Agree

13. I HEREBY AGREE TO WAIVE, AND DO WAIVE, ANY AND ALL DUTY OF CARE, WHETHER BY OMISSION OR COMMISSION, OR ANY OTHER DUTY, WHICH MAY BE OWED OR CLAIMED TO BE OWED TO ME BY RELEASED PARTIES. 

I Agree

14. LIMITATION OF WARRANTY: RELEASED PARTIES hereby represent that the equipment provided by RELEASED PARTIES has been previously used for Skydiving Activities.  This representation is the only representation made and is made in lieu of any and all warranties, express or implied, including but not limited to warranties of merchantability or fitness for a particular purpose.    RELEASED PARTIES, IN ACCORDANCE WITH CONNECTICUT GENERAL STATUTES § 42a2316, HEREBY EXPRESSLY DISCLAIM AND EXCLUDE ANY AND ALL IMPLIED WARRANTIES OF DESIGN, MANUFACTURE, WORKMANSHIP, MERCHANTABILITY AND/OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT TO SAID EQUIPMENT.    In accepting this limitation of warranty, I SPECIFICALLY WAIVE ANY CLAIM I MAY MAKE FOR DEFECT IN DESIGN, MANUFACTURE, WORKMANSHIP OR ANY OTHER DEFECT IN EQUIPMENT AND WAIVE ANY CLAIM I MAY HAVE THAT AN ALTERNATE DESIGN WAS AVAILABLE THAT WOULD HAVE BEEN SAFER OR IN ANY WAY BETTER, OR THAT THE DESIGN EMPLOYED FAILED TO COMPLY WITH INDUSTRY STANDARDS.  I have read the above paragraph, I acknowledge that I understand it, and I knowingly and voluntarily accept the limitation of warranty. 

I Agree

15. In the event any agent, claimed agent, independent contractor, or employee of RELEASED PARTIES is guilty of willful and/or wanton conduct or misconduct, or any conduct claimed to be, or deemed to be, outside the scope of this Agreement, Release of Liability, and Assumption of Risk, by action or law or for any other reason, I agree that that agents, claimed agents, independent contractors, or employees action shall be beyond the scope of his/her/its employment and not attributable to RELEASED PARTIES or any other entity, on any agency theory, or any other theory.  This shall also apply to any acts which are alleged to be, or are deemed to be, willful and wanton on the part of any agent, claimed agent, independent contractor, employee, or any person or entity acting on behalf of or instead of any individual and/or entity included in the definition of RELEASED PARTIES.

I Agree

16. If I am making a student and/or tandem jump, I understand that I will be wearing a separate harness which will need to be adjusted several times by the instructor.  If my jump is a tandem jump, I understand that the instructor will attach my harness to his/her person and that this will put my body in close physical contact to that of the tandem instructor.  I specifically agree and consent to this physical contact between the tandem instructor and myself. 

17. DURATION OF RELEASE: It is my understanding and intention that this Agreement, Release of Liability, and Assumption of Risk be effective not only for my first jump, but for all subsequent jumps or Skydiving Activities, and shall be in full force and effect from the signing of this Agreement, Release of Liability, and Assumption of Risk.   I further agree that any subsequent release signed by me shall include the terms of this release to the extent they are not inconsistent with the subsequent release, and that any and all such inconsistencies shall be decided in favor of RELEASED PARTIES.    I agree that this Agreement, Release of Liability, and Assumption of Risk may be terminated upon written notice, sent by either Participant and/or CONNECTICUT PARACHUTISTS, INC by certified mail, return receipt requested, and that said termination shall be effective as of the date of receipt of same by the non-terminating party.    I further agree that such termination shall not affect events, inclusive of any and all Skydiving Activities, occurring or which have occurred prior to the effective date of the termination. 

I Agree

18. ENFORCEABILITY: I agree that if any portions of this Agreement, Release of Liability, and Assumption of Risk are found to be against public policy or unenforceable for any reason, only such portion which is against public policy or unenforceable shall be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining portions hereof.    I SPECIFICALLY WAIVE ANY UNENFORCEABILITY OR ANY PUBLIC POLICY ARGUMENT THAT I MAY MAKE OR THAT MAY BE MADE ON MY BEHALF, ON BEHALF OF MY ESTATE, OR BY ANYONE OR ENTITY WHO COULD OR DOES SUE BECAUSE OF MY INJURY, EMOTIONAL OR PHYSICAL, OR DEATH. 

I Agree

19. DOCUMENT BROADLY CONSTRUED AND AMBIGUITIES CONSTRUED AGAINST ME. I am, by reading this paragraph, being made aware that the general rule is that this type of document is to be narrowly construed and ambiguities are to be decided against the person or entity preparing the document.  I EXPRESSLY WAIVE THAT RULE AND I SPECIFICALLY AGREE THAT THIS DOCUMENT SHALL BE BROADLY CONSTRUED IN FAVOR OF RELEASED PARTIES AND AGAINST ME, AND THAT ALL AMBIGUITIES SHALL BE RESOLVED IN FAVOR OF RELEASED PARTIES. 

I Agree

20. JURISDICTION AND VENUE OF ANY DISPUTE.  While I am, in accordance with this Agreement, Release of Liability, and Assumption of Risk, promising not to sue, agreeing to hold harmless and indemnify, and releasing RELEASED PARTIES, in the unlikely event that I am, or any entity acting on my behalf or on behalf of my estate is, able to circumvent these promises, agreements, and releases, I agree that I, or any entity acting on my behalf or on behalf of my estate, will only bring a lawsuit arising out of or related to my Skydiving Activities in the Superior Court of Connecticut, Judicial District of Tolland, and not in the federal courts of Connecticut.  I agree that I, my estate or any entity acting on my behalf or on behalf of my estate, will not contest the jurisdiction or venue of the Superior Court of Connecticut, Judicial District of Tolland.  I further agree that, by signing this Agreement, Release of Liability, and Assumption of Risk, I am subjecting myself, my estate, or any entity acting on my behalf or on behalf of my estate, to the personal jurisdiction of the Connecticut State Courts, and agree not to contest the Connecticut Courts personal jurisdiction, whether on the grounds of forum non conveniens, or otherwise.    I KNOWINGLY WAIVE THE RIGHT TO CONTEST THE PERSONAL JURISDICTION AND VENUE OF THE SUPERIOR COURT OF CONNECTICUT, JUDICIAL DISTRICT OF TOLLAND. 

I Agree

21. LAW TO BE APPLIED. While I am, in accordance with this Agreement, Release of Liability, and Assumption of Risk, promising not to sue, agreeing to hold harmless and indemnify, and releasing RELEASED PARTIES, in the unlikely event that I am, or any entity acting on my behalf or on behalf of my estate is, able to circumvent these promises, agreements, and releases, I agree that in resolving any legal claim arising out of or related to my Skydiving Activities, the court shall apply the substantive statutes, substantive common law and legal precedent of the state of Connecticut.   I make this agreement without reference to the choice-of-law rules of any state in which a claim related to my Skydiving Activities is brought.    I agree that I will not contest the application of Connecticut substantive law to any claim related to this Agreement, Release of Liability, and Assumption of Risk and/or my Skydiving Activities.  I KNOWINGLY WAIVE MY RIGHT TO ASSERT THAT ANY OTHER STATE OR FEDERAL LAW SHOULD APPLY TO ANY CLAIM RELATED TO THIS CONTRACT

I Agree

22. While I am, in accordance with this Agreement, Release of Liability, and Assumption of Risk, promising not to sue, agreeing to hold harmless and indemnify, and releasing RELEASED PARTIES, in the unlikely event that I am, or any entity acting on my behalf or on behalf of my estate is, able to circumvent these promises, agreements, and releases, I am aware that I have a right to demand a jury trial in any lawsuit that I, my estate, or anyone acting on my behalf or on behalf of my estate or heirs might file against RELEASED PARTIES.  I am also aware that it may be to my advantage to do so.  I HEREBY IRREVOCABLY WAIVE AND GIVE UP THE RIGHT TO A JURY TRIAL IN ANY LAWSUIT THAT I MIGHT FILE, OR MIGHT BE FILED ON MY BEHALF, OR ON BEHALF OF MY HEIRS OR MY ESTATE AGAINST RELEASED PARTIES.  I further understand that RELEASED PARTIES, and RELEASED PARTIES alone, at their option, may demand a jury trial. 

23. While I am, in accordance with this Agreement, Release of Liability, and Assumption of Risk, promising not to sue, agreeing to hold harmless and indemnify, and releasing RELEASED PARTIES, in the unlikely event that I am, or any entity acting on my behalf or on behalf of my estate is, able to circumvent these promises, agreements, and releases, I am, by reading this paragraph, being made aware that the Connecticut wrongful death statute provides for the allowance of pecuniary damages for loss of earning potential, conscious pain and suffering, and the loss of the capacity to enjoy lifes activities.   Having been made aware of this, I SPECIFICALLY WAIVE, GIVE UP, AND RELINQUISH THE RIGHT OF MY HEIRS OR FAMILY MEMBERS TO PURSUE THOSE TYPES OF DAMAGES IN ANY WRONGFUL DEATH OR OTHER ACTION WHICH MAY BE FILED ON MY BEHALF OR ON BEHALF OF MY ESTATE, AND I AGREE TO INDEMNIFY RELEASED PARTIES FOR ANY JUDGMENT WHICH MAY BE ENTERED ON BEHALF OF MY SURVIVORS. 

24. I grant CONNECTICUT PARACHUTISTS, INC, as well as its officials, employees, representatives, agents, licensees, successors and assignees the irrevocable and unrestricted right to use my name, picture, image, likeness, actions, voice, or other personally identifiable information, in whole or in part, individually or in conjunction with other images associated with such video and photo recording, in all formats, media and in all manners, including composite or altered representations, for advertising, trade or any other lawful purposes (ex: YouTube).  Further, I WAIVE ALL RIGHTS OF PRIVACY OR COMPENSATION, WHICH I MAY HAVE IN CONNECTION WITH SUCH USE OF MY NAME, PICTURE, IMAGE, LIKENESS, ACTIONS, VOICE OR OTHER PERSONALLY IDENTIFIABLE INFORMATION, AND I ALSO WAIVE ANY RIGHT TO INSPECT OR APPROVE THE FINISHED VERSION(S), INCLUDING WRITTEN COPY THAT MAY BE CREATED IN CONNECTION WITH THE VIDEO PRODUCTION, EDITING AND PROMOTION THEREWITH. 

I Agree

25. I GIVE UP LEGAL RIGHTS: IT HAS BEEN EXPLAINED TO ME, AND I UNDERSTAND, THAT BY SIGNING THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK I AM GIVING UP IMPORTANT LEGAL RIGHTS AND IT IS MY INTENTION TO DO SO. 

26. In the event that it is found that any portion or portions of this Agreement, Release of Liability, and Assumption of Risk conflicts with any one or more other portion(s) in this Agreement, Release of Liability, and Assumption of Risk, the interpretation of that portion which is most favorable to RELEASED PARTIES shall control. 

I Agree

27. UNDERSTANDING OF AGREEMENT: I HEREBY CERTIFY THAT I HAVE READ AND UNDERSTAND THE CONTENTS OF THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK AND I WISH TO BE BOUND BY ITS TERMS.  I UNDERSTAND THAT BY SIGNING THIS, I HAVE FOREVER GIVEN UP IMPORTANT LEGAL RIGHTS.  EVEN THOUGH I MAY HAVE FAILED TO INITIAL SOME OR ALL OF THE PARAGRAPHS OF THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK, I STILL INTEND TO BE BOUND BY ALL PARAGRAPHS.  I FURTHER UNDERSTAND THAT THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK CAN ONLY BE AMENDED IN WRITING, WITH THE AMENDMENT SIGNED BY THE ATTORNEY FOR CONNECTICUT PARACHUTISTS, INC. (WHOSE NAME, ADDRESS AND PHONE NUMBER WILL BE SUPPLIED UPON REQUEST) AND MYSELF. 

I Agree

28. I ELECT NOT TO ATTEMPT TO NEGOTIATE A CHANGE IN THIS AGREEMENT. 

29. I hereby certify that if, and only if, I am using my own gear or rental gear rented from RELEASED PARTIES, my reserve parachute has been packed, or I have confirmed that my reserve parachute has been packed, by an appropriately rated FAA certified parachute rigger and will be in-date, under the Federal Aviation Regulations, on all parachute jumps I make.  Should my reserve parachute become out-of-date, I will have it properly packed PRIOR to making any parachute jumps. 

I Agree

30. I hereby certify that if, and only if, I am a licensed skydiver, whether through the United States Parachute Association (USPA) or otherwise, I have read, I am familiar with, and I understand the Federal Aviation Regulations, USPA regulations, the Skydivers Information Manual (SIM), any other applicable laws and/or regulations, and/or manufacturers operating manuals and guidelines. 

I Agree

31. I hereby certify that if, and only if, I am a licensed skydiver, whether through the United States Parachute Association (USPA) or otherwise, I shall use sound judgment and undertake Skydiving Activities in accordance with the Federal Aviation Regulations, USPA regulations, the Skydivers Information Manual (SIM), any other applicable laws and/or regulations, and/or manufacturers operating manuals and guidelines.  I hereby agree to comply with all rules, regulations, and operational limitations imposed by the Federal Aviation Administration and/or any other relevant governing entity.  In the event that I undertake Skydiving Activities in violation of same, I agree to INDEMNIFY AND HOLD RELEASED PARTIES HARMLESS from all claims, judgments, disbursements, and costs, including but not limited to reasonable attorneys fees, and to reimburse RELEASED PARTIES for any expenses whatsoever incurred in connection with any regulatory action, claim, or lawsuit brought as a result of my violation(s) of any rule(s), regulation(s), and operational limitation(s) imposed by the Federal Aviation Administration and/or any other relevant governing entity, including any such any regulatory action, claim, or lawsuit brought directly against RELEASED PARTIES as a result of same. 

I Agree

32. I UNDERSTAND AND AGREE THAT IF I SIGN THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK, I AM BOUND BY THIS ENTIRE AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK.    I UNDERSTAND AND AGREE THAT IT MEANS, IN THE BROADEST GENERAL TERMS, THAT IF I SUE RELEASED PARTIES, I CANNOT WIN AND, FURTHER, I WILL OWE RELEASED PARTIES MONEY AND OTHER DAMAGES, INCLUDING BUT NOT LIMITED TO ATTORNEYS FEES, REPAYMENT OF ANY JUDGMENT OBTAINED, AND OTHER EXPENSES INCURRED BY RELEASED PARTIES IN DEFENDING MY LAWSUIT.  I FURTHER UNDERSTAND AND AGREE THAT I WILL HAVE TO REIMBURSE RELEASED PARTIES FOR ANY JUDGMENT I MIGHT GET AGAINST RELEASED PARTIES, EVEN IF MY LOSS, INCLUDING INJURY, EMOTIONAL OR PHYSICAL, OR DEATH, IS CAUSED BY THE NEGLIGENCE OR OTHER FAULT OF RELEASED PARTIES.    I UNDERSTAND AND AGREE TO BE BOUND BY THIS PARAGRAPH AND ALL OTHERS IN THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK. 

I Agree

33. I UNDERSTAND AND AGREE THAT, WHEN I SIGN THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK, I AM GIVING UP ANY AND ALL RIGHTS I OR MY HEIRS MAY HAVE TO SUE ANYONE IN ANY WAY, SHAPE OR FORM ASSOCIATED WITH MY SKYDIVING ACTIVITIES, EVEN IF THE ENTITY I OR MY HEIRS INTEND TO SUE HAS CAUSED MY INJURY, EMOTIONAL OR PHYSICAL, OR DEATH BY THEIR NEGLIGENCE OR OTHER FAULT. 

I Agree

34. I HAVE BEEN GIVEN A FULL AND FAIR OPPORTUNITY TO READ THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK.    I HAVE READ EVERY SINGLE WORD ON EVERY SINGLE PAGE.    I UNDERSTAND ITS CONTENTS.  I INTEND THAT I, MY HEIRS, MY FAMILY AND/OR ANYONE WHO MIGHT ACT ON MY BEHALF OR ON BEHALF OF MY ESTATE, IN ANY CAPACITY WHATSOEVER, SHALL BE BOUND BY ITS TERMS. 

35. For any non-tandem or student Skydiving Activities, I ASSUME FULL RESPONSIBILITY FOR ANY GEAR I RENT AND/OR BORROW FROM CONNECTICUT PARACHUTISTS, INC.  I understand that this Agreement, Release of Liability, and Assumption of Risk applies to all gear I rent and/or borrow.  I also agree that I will pay for the cost of all repairs and the replacement of any gear damaged beyond repair, or any gear that is lost and not recovered.  I will pay the cost of the main canopy repack and the reserve repack, if necessary.  If I have any questions about the gear, I will consult a Connecticut Parachutist, Inc. rigger or instructor before using the gear.  I understand that I am responsible to inspect and pack all gear that I use on every jump. 

36. I READ AND UNDERSTAND THE ENGLISH LANGUAGE. 

READ EVERY SINGLE WORD ON EVERY SINGLE PAGE BEFORE YOU SIGN. YOU ARE GIVING UP IMPORTANT LEGAL RIGHTS. IF YOU NEED MORE TIME TO READ THIS AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK,   PLEASE, ALL YOU NEED TO DO IS ASK.

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First Skydiver Name

First Name*

Middle Name

Last Name*

Phone*
First Skydiver Date of Birth*
First Skydiver Information

STATEMENT OF MEDICAL FITNESS 

"I, the participant ("Participant"), represent and warrant that I have no physical or mental infirmities, except as listed below; am not under treatment for any other physical or mental infirmity or chronic ailment or injury of any nature; and have never been treated for or diagnosed to have any of the following: cardiac or pulmonary conditions or diseases, diabetes, fainting spells or convulsions, nervous disorders, mental illness, or depression, kidney or related diseases, high or low blood pressures, or any other disability which might in any way affect my ability to participate in skydiving, parachuting, flying, or related activities." 

INFIRMITIES or EXCEPTIONS (if none, so state the word "none" on the line below)


Height

Exit Weight (Your weight plus gear) *

For Emergency, Injury or Death, Notify:


Name: *

Relationship:

Street Address:

City:

State:

Zip Code:

Telephone Number: *

USPA Number - (AFF Students enter Student) *

USPA Expires

License Number

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First Skydiver Signature*
Skydiver 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*

Confirm Email*
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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

STATEMENT OF MEDICAL FITNESS 

"I, the participant ("Participant"), represent and warrant that I have no physical or mental infirmities, except as listed below; am not under treatment for any other physical or mental infirmity or chronic ailment or injury of any nature; and have never been treated for or diagnosed to have any of the following: cardiac or pulmonary conditions or diseases, diabetes, fainting spells or convulsions, nervous disorders, mental illness, or depression, kidney or related diseases, high or low blood pressures, or any other disability which might in any way affect my ability to participate in skydiving, parachuting, flying, or related activities." 

INFIRMITIES or EXCEPTIONS (if none, so state the word "none" on the line below)


Height

Exit Weight (Your weight plus gear) *

For Emergency, Injury or Death, Notify:


Name: *

Relationship:

Street Address:

City:

State:

Zip Code:

Telephone Number: *

USPA Number - (AFF Students enter Student) *

USPA Expires

License Number

Click to customize text

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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