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Skydive Vancouver Experienced Jumper Liability Release.

 

Skydive Vancouver Ltd. /Horizon Aero Sports 1982 Ltd

Waiver agreement, Release of Liability, Assumption of Risk

I  hereby acknowledge that I have voluntarily applied to participate in parachuting and skydiving, instructions, training culminating in a parachute jump/skydive at premises owned or leased by Skydive Vancouver Ltd. /Horizon Aero Sports (1982) Ltd. Hereafter referred to by Horizon.

 

As valuable consideration for the acceptance of my request to be instructed in parachute jumping and for permission to participate in aircraft flights, parachute jumping, skydiving, and to use the facilities owned and or leased from Horizon ( hereafter referred to as parachute activities) I hereby expressly agree, for myself, my spouse, heirs, legal representatives, successors, assigns, and administrators, to waive, release and forever discharge any and all claims, whether based on negligence or otherwise which may presently have or hereafter possess against Horizon, it’s officers and directors, agents, Instructors for Horizon,  pilot of and owner(s) and or operator(s) and all persons whether participants or spectators of Horizon (hereafter referred to as Released Parties) Which may presently or in future arise out of, or occur in connection with my use of the facilities, aircraft, and equipment of Horizon.

 

I further expressly agree that I will not make claim against the released parties for personal injury, conscious suffering, death, property damage, or any other losses sustained as a result of my participation in parachute instruction and training or parachute activities. I also expressly agree to indemnify and hold the Released Parties harmless from any claim, judgements and costs, including lawyers’ fees incurred in connection   with any action brought as a result of my parachute activities, whether or not caused by negligence of the Released Parties.

I understand and acknowledge that parachute training and activities have inherent dangers that no amount of care, caution and instruction or expertise can fully eliminate and I expressly and voluntarily assume any and all risk of property damage, injury, or death sustained while participating in parachute training and/or activities, whether or not caused by negligence of the Released Parties.

 

I further release all employees, Instructors, agents, and participants and spectators at Horizon and Horizon, from claims what so ever on account of my participation in parachute training/instruction or parachute activities. I further understand my opportunity to use the above mentioned facilities is subject to final approval of Horizon, area training advisors and Instructors and Agents of Horizon, and that in the event that any of these people determine I am not competent to further use the facilities and aircraft, I agree to be bound by their decision.

I understand that I am responsible and will pay damages incurred by myself to any properties, including Horizon properties, facilities, aircraft, including lawyers’ fees incurred by Horizon to retrieve funds owing.

I understand that this waiver and release agreement applies to all phases of my use of Horizon’s equipment, including but not limited to all phases of skydiving, parachuting, parachute  instruction, training, fall, leap, demonstration, exhibition, practice roll, tumble, swing, powered flight, take off, flight, landing, taxing and parking.

I expressly agree that this waiver, release, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the Province of British Columbia standing, continue in full legal force and effect.

I have carefully read this agreement, have had any opportunity to discuss its nature and effects, and I fully understand its contents. I am aware that this release of liability is a contract between myself and Horizon and/or its affiliated organizations and sign of my own free will.

I agree that any photos or video taken by Skydive Vancouver/Horizon remains the property of Horizon and may be used in any manner they see fit.

July 25, 2021 

{Name}

Medical Statement:

I hereby declare I am not now under any treatment for any physical infirmity or chronic illness that would affect my ability to participate in training or jumping.

I am not under any prescribed medication that would affect my judgement or ability.I will not be under the influence of or have ingested any alcoholic beverage or drug within the 12 hour period before my skydive.

Special Covid 19 declaration:

I am not experiencing any of the following:

Severe difficulty breathing (e.g. struggling to breathe or speaking in single words)
Severe chest pain
Having a very hard time waking up
Feeling confused
Losing consciousness

Mild to moderate shortness of breath
Inability to lie down because of difficulty breathing
Chronic health conditions that you are having difficulty managing because of difficulty breathing
Cold, flu or COVID-19-like symptoms, even mild ones?
Symptoms include: fever, chills, cough, and shortness of breath, sore throat and painful swallowing, stuffy or runny nose, loss of sense of smell, headache, muscle aches, fatigue or loss of appetite.

 

I have not travelled to any countries outside Canada (including the United States) within the last 14 days?

I have not provided care or had close contact with a person with confirmed COVID-19?

Note: This means you would have been contacted by your health authority’s public health team.

If I experience any of these symptoms or can say yes to any of these questions up until the time of my reservation, I agree to reschedule for at least 2 weeks from this time.

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Skydiving is a contact sport. Please understand that with all the precautions and safety measures we have taken it is not possible for us to guarantee you that you won’t be exposed to COVID-19. By participating in skydiving you accept the risk and assume all responsibility to the exposure and risk of contracting COVID-19

 

 

 

 

 

 

 

First Jumpers Name

First Name*

Middle Name

Last Name*

Phone*
First Jumpers Date of Birth*
First Jumpers Signature*
Second Jumpers Name

First Name*

Middle Name

Last Name*
Second Jumpers Date of Birth*
Third Jumpers Name

First Name*

Middle Name

Last Name*
Third Jumpers Date of Birth*
Fourth Jumpers Name

First Name*

Middle Name

Last Name*
Fourth Jumpers Date of Birth*
Fifth Jumpers Name

First Name*

Middle Name

Last Name*
Fifth Jumpers Date of Birth*
Sixth Jumpers Name

First Name*

Middle Name

Last Name*
Sixth Jumpers Date of Birth*
Seventh Jumpers Name

First Name*

Middle Name

Last Name*
Seventh Jumpers Date of Birth*
Eighth Jumpers Name

First Name*

Middle Name

Last Name*
Eighth Jumpers Date of Birth*
Ninth Jumpers Name

First Name*

Middle Name

Last Name*
Ninth Jumpers Date of Birth*
Tenth Jumpers Name

First Name*

Middle Name

Last Name*
Tenth Jumpers Date of Birth*
Jumpers 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 discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Skydiver Information

Number of Jumps *

Number of Jumps in past 6 months

Home Drop Zone

Association Affiliation *

License

Main Canopy Type

Reserve Canopy Type

Date of Reserve Repack *

AAD Type
Audible Altimeter*
No
Yes

I understand that this DZ has a left hand landing pattern and that I must fly my parachute in a safe and responsible manner so as not to endanger myself, my fellow skydivers and spectators. *

I understand this DZ has a policy of equipment checks before boarding and before opening a/c door.

I understand I must wear freefly friendly equipment, audible altimeter, AAD, and hard helmet when free flying.

I will keep horizontal distance between myself and other groups on exit and protect my equipment from premature opening in the aircraft and on climbout.

I will observe proper opening altitudes as well as vertical and horizontal separation in freefall and under canopy.

I am not under the influence of alcohol or any drugs that could impair my judgement or performance while skydiving.
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 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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