Loading...

This is an important legal document. Allow yourself sufficient time to carefully read and understand this document in its entirety, because by signing it, you are agreeing to give up certain legal rights.


I, In consideration of the United States Canopy Piloting Association LLC., doing business as a canopy piloting competition organization and training organization shall, from this point out on this form be referred to as (USCPA). 


1) Representations, Warranties, & Assumptions of Risk: I understand that by voluntarily attending a canopy competition/training for the purpose of progression and making myself a safer canopy pilot will expose me to the risk of personal injury, property damage and/or death. I understand that the successes of my jumps are dependent upon the perfect functioning of the airplane from which I intend to jump and the parachute system, and that neither the airplane nor the parachute system can be guaranteed to function perfectly. I understand that the airplane and the parachute system are both subject to mechanical malfunctions as well as operator error. I freely, voluntarily and expressly choose to assume all risks inherent in parachute jumping, including, but not limited to, risks of equipment malfunction and/or failure to function, including those which may result from some defect in design, assembly, and/or manufacture as well as those risks arising from improper and/or negligent operation and/or use of the equipment, for and in consideration of becoming a safer canopy pilot/parachutist, understanding full well that those risks may include personal injury, property damage, and/or death. I also understand that skydiving is an inherently dangerous sport and canopy piloting and canopy progression are highly dangerous if not done so with the greatest safety in mind. 


2) Exemption and Release from Liability: I exempt and release the following persons and organizations:

(A) The USCPA and their directors, coaches, agents, servants, employees, sponsors and other representatives;


(B) Manufacturers, designers, and suppliers of component equipment incorporated in the dual-container parachute pack assembly I will be using during my intentional parachute jumps; 


(C) Owners, suppliers, mechanics and operators of aircraft from which I am to make my intentional parachute jumps; 


(D) The owners and lessees, if any, of land upon and from which the parachute jumping and related aircraft operations are conducted; 


(E) If I am making my intentional parachute jump at or near a parachuting/skydiving facility, the owners and Operators of that facility, as well as their officers, directors, agents, servants, employees, shareholders, sponsors and other representatives; 


(F) Any and all skydiving referral service, business entities, and/or owners of fictitious name entities which I may have used in locating and/or deciding upon a parachuting/skydiving facility or other location at which to perform your intentional parachute jumps; 


(G) Any other person and/or organization which is or may be liable for any loss or injury to me and or my property, or my death, arising out of my participation in any of the activities covered by this Agreement (as defined below); 


From any and all liability, claims, demands or actions or causes of action whatsoever arising out of any damage, loss or injury to me or my property, or my death, whether occurring while I am training and/or preparing for my intentional parachute jumps, while I am present in aircraft from which the jump is to be made, while I am making my intentional parachute jump, or while I am engaged in related activities (hereafter referred to as “activities covered by this Agreement”), whether such loss, damage, injury, or death results from the negligence and/or other fault, either active or passive of any of the persons and/or organizations described in paragraphs 2(A)-(G) above, or from any other cause; 


3) Covenant Not to Sue: I agree never to institute any suit or action at law or otherwise against any of the organizations and/or persons described in paragraph 2(A) through (G) above, or to initiate or assist in the prosecution of any claim for damages or cause of action which I may have by reason of injury to my person or property, or my death, arising from the activities covered by this Agreement, whether caused by the negligence and/or fault, either active or passive, of any of the organizations and/or persons described in paragraph 2(A) through (G) above, or from any other cause. I further expressly agree that I will never raise any claim against any of the organizations and/or persons described in paragraph 2(A) through (G) above for product liability, failure to warn, negligence, breach of warranty, breach of contract, or strict liability, regardless of whether my claims for damages or injuries are alleged to result from the fault or negligence of the parties released or from myself. I further agree that my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf, shall not institute any suit or action at law or otherwise against any of the organizations and/or persons described in paragraph 2(A) through (G) above, nor shall they initiate or assist the prosecution of any claim for damages of cause of action which I, my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf may have by reason of injury to my person or property, or my death arises from the activities covered by this Agreement, whether caused by the negligence and/or fault, either active or passive, of any of the organizations and/or persons described in paragraph 2(A) through (G) above, or from any other cause, I hereby so instruct my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. Should any suit or action at law or otherwise be instituted in violation of this Agreement against any of the organizations and/or persons described in paragraph 2(A) through (G) above, I agree that such organizations and/or persons shall be entitled to recover, in addition to any other damages which may be incurred, reasonable attorneys’ fees and costs incurred in defense of such suit or action, including any appeals there from. 


4) Indemnity Against Claims: I will indemnify, defend, save and hold harmless the organizations and/or persons described in paragraph 2(A) through (G) above from any and all losses, claims, actions or proceedings of every kind and character, including attorneys’ fees and expenses, which may be presented or initiated by any persons and/or organizations and which arise directly or indirectly from my participation in the activities covered by the Agreement, whether resulting from the negligence and/or other fault, either active or passive, or any of the organizations and/or persons described in paragraph 2(A) through (G) above, or from any other cause. 


5) Validity of Waiver: I understand that if I institute or anyone on my behalf institutes, any suit or action at law or any claim for damages or cause of action against any of the organizations and/or persons described in paragraph 2(A) through (G) above because of injury to my person or property, or my death, due to the activities covered by this Agreement, this Agreement can and will be used in court, and that such agreements have been upheld in courts in similar circumstances.


6) Representations and Warranties as to Medical Condition: I represent and warrant that (a) I have no physical infirmity that prevents me from participating in canopy coaching/training for the purpose of safe canopy progression. I am not under treatment for any other physical infirmity or chronic ailment or injury of any nature. (b) I am not under any medication of any kind at the present time. 


7) Waiver of Jury Trial/Applicable Law/Venue/Headings: I agree that the law of the State of Florida shall apply to issues involving the construction, interpretation, and validity of this Agreement, and that Florida law shall govern any dispute between the parties arising from the activities covered by this Agreement. In the event this Agreement is violated and suit is brought against any of the organizations and/or persons described in paragraph 2(A) through (G) above, I waive my right to a jury trial, and agree that Volusia County, Florida shall be the sole venue for any suit or action arising from the activities covered by this Agreement. I agree that the headings and sub-headings used throughout this Agreement are for convenience only and have no significance in the interpretation of the body of this Agreement. 


8) Severability/Multiple Waivers: I agree that should one or more provisions in this Agreement are judicially determined to be unenforceable, the remaining provisions shall continue to be binding and enforceable against me. If I have executed any other agreement containing provisions relating to the exemption and/or release from liability and/or covenant not to sue in connection with the activities covered by this Agreement, I agree that the agreement which provides the most protection from liability and/or suit for the USCPA and any of the organizations and/or persons described in paragraph 2(A) through (G) above shall be enforceable against me by the USCPA as well as it’s the organizations and/or persons described in paragraph 2(A) through (G) above. 


9) Continuation of Obligations: I agree and acknowledge that the terms and conditions of this Agreement shall continue in force and effect now and in the future at all times during which I participate in the activities covered by this Agreement, and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. This Agreement supersedes and replaces any prior such agreement I have signed. 


10) I hereby agree and acknowledge that all of the information on this agreement and qualifications as to my abilities I have provided on this agreement to be truthful and accurate and failure to do so may result in my own serious injury or death. 


*Please read each paragraph carefully. Your initials indicate you understand and agree to all of the information and terms contained therein.

I freely and voluntarily agree to all of the above by signing this contract on November 18, 2024.

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Information

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
First Participant's Signature*
Second Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Third Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Fourth Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Fifth Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Sixth Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Seventh Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Eighth Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Ninth Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Tenth Participant's Name

First Name*

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

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Information

Age:

Number of Jumps:

Number of jumps in the past 12 Months:

Size and type of canopy:

Number of jumps on this canopy:
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!