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Tennessee Tree Toppers 2020 Membership Application & Waiver (draft)

TENNESSEE TREE TOPPERS (TTT) MEMBERSHIP APPLICATION (2020) - Draft v1

In consideration for being permitted to use the facilities and equipment of the Tennessee Tree Toppers, Inc., hereinafter referred to as the TTT, and to engage in the sport of hang gliding and paragliding, solo and/or tandem instruction, and other related activities, (hereinafter collectively referred to as Hang Gliding and Paragliding Activities), I hereby agree as follows:

I hereby RELEASE AND DISCHARGE the United States Hang Gliding and Paragliding Association and any of its members, the cities of Dunlap, TN and Whitwell, TN, any owners of land where Hang Gliding and Paragliding Activities are conducted, the TTT Board of Directors, TTT members, and TTT designees (hereinafter collectively referred to as Released Parties), from any and all liability, claims, demands or causes of action that I may hereafter have for injuries and damages arising out of my participation in Hang Gliding and ParaglidingActivities including, but not limited to, losses CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.

I certify that I am currently a member in good standing of the United States Hang Gliding and Paragliding Association and understand that flying at  any Tennessee Tree Toppers site without a United States Hang Gliding and Paragliding Association membership is in violation of our Flight  Regulatory Program and Bylaws.

I further agree that I will not sue or make claim against the Released Parties for damages or other losses sustained as a result of my participation in Hang Gliding and Paragliding Activities.

I also agree to INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS from all claims, judgments and costs, including attorneys fees incurred in connection with any action brought as a result of my participation in the Tennessee Tree Toppers Membership Application and/or Hang Gliding and Paragliding Activities.

I understand and acknowledge that Hang Gliding and Paragliding Activities have inherent dangers that no amount of care, caution, instruction or experience can eliminate and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISKS OF DEATH OR PERSONAL INJURY SUSTAINED WHILE PARTICIPATING IN HANG GLIDING AND PARAGLIDING ACTIVITIES, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.

I have been advised and recognize that my Hang Gliding and Paragliding Activities are not covered by any personal accident or general liability insurance policy issued to the Released Parties.

I hereby expressly recognize and accept that this Agreement-Release of Liability is contract pursuant to which I have released any and all claims against the Released Parties resulting from my participation in Hang Gliding and Paragliding Activities, including any claims caused by the negligence of the Released Parties.  I certify that I am a current member of the United States Hang Gliding Association (USHPA) and that all information I am providing is true and accurate. 

I state that I am sober and clear in mind.  I have read the TTT Bylaws, Site Guide, and Flight Regulations defined in the FRP provided on the TTT website.  I agree to abide by all of the TTT rules and Flight Regulatory Program (FRP) and to report any noncompliance of these regulations to a TTT official. 

I HAVE READ THIS AGREEMENT - RELEASE OF LIABILITY IN ITS ENTIRETY OR HAVE HAD IT READ TO ME, FULLY UNDERSTAND AND AGREE TO ALL OF ITS CONTENTS, AND SIGN IT OF MY OWN FREE WILL.

December 8, 2022

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
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*

Confirm Email*
Check to receive information, news, and member communications by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
More Information

If you have named an Authority for Medical Directive (AMD) to make medical decisions on your behalf and that person is not your emergency contact, you can provide that information here.


Authority of Medical Directive (AMD):

AMD Contact 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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Preferred Name
Everyone knows me by my middle name*
No
Yes

USHPA Information

All TTT members must also be a member of the United States Hang Gliding and Paragliding Association (USHPA). If you are a student pilot under the supervision of a TTT-approved USHPA-certified instructor you should enter the number from your temporary USHPA membership. 


USHPA Member Number *

USHPA Membership Expiration Date *

USHPA Rating(s) (include all ratings) Students should enter STUDENT *

Provide any USHPA Appointments, special skills, and flight experience (optional)
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 download a copy of this waiver and/or 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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