For more information or questions about your skydive, please consult your instructor. For more information or questions about this document, please seek professional legal advice. I AM AWARE THAT PARACHUTE INSTRUCTION AND JUMPING ARE ULTRA HAZARDOUS ACTIVITIES, AND AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH THE KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE Please initial when read In consideration of Jump Georgia Skydiving, LLC allowing me (my full name is entered in the field immediately below this one) to utilize the facilities and participate in skydiving/parachuting, aviation, instruction and any and all activities (hereinafter referred to as “ related activities” covered by the Agreement) that occur at Jump Georgia Skydiving, LLC, 538 Beacon Road, Sylvania, GA 30467 I,
(student passenger parachutist), hereby acknowledge that I have reached the age of majority as dictated by the state in which I am making my Tandem, AFF or Solo Jump, and I have voluntarily applied to participate in parachuting instruction and training, culminating in a parachute jump at Florida Skydiving Center or Jump Florida Skydiving LLC, of Plant City, Florida. In consideration for being permitted to participate in skydiving, parachute jumping, tandem jumping, accelerated freefall instruction, demonstration jumps, water jumps, ground transportation, flying and related activities (hereinafter collectively referred to as “activities covered by this Agreement”) conducted by Florida Skydiving Center or Jump Florida Skydiving LLC, Skydive Orlanpa, Lakeland Aircraft Maintenance, Shaun Slade, Blackwater Creek Airpark,Try Skydiving LLC, Strong Enterprises (S.E. Inc.), Tandem Designs, Inc., Tandem Solutions, Inc. doing business as Wings Tandem System, Pascoal Rodrigues, Tim Jones, Betty Hill, Mirage Services Corp, City of Plant City, I hereby agree as follows: 1. LEGALITY/RIGHT TO SEEK INDEPENDENT COUNSEL PRIOR TO SIGNING AGREEMENT: I understand that I am giving up certain legal rights, including the right to sue Jump Georgia Skydiving, LLC, its members, employees, associates, or heirs, successors, or assigns in interest. I understand that this is a legally binding agreement to which my heirs, successors, assigns, and third parties will be bound. I understand that I do not have to sign this agreement and may seek independent legal counsel to have this agreement explained to me prior to signing it so that I can fully understand the legal consequences of signing this agreement. I further understand that unless a Jump Georgia Skydiving, LLC staff member is a lawyer that they are unable to explain the terms and conditions of this Agreement to me and that I will not rely upon any representation given to me by them concerning the legal ramifications of this contract. Finally, I understand that if I do not sign this agreement, that any member or employee of Jump Georgia Skydiving, LLC reserves the right to refuse me any service relating to skydiving, aviation, or any other activity relating to it. 2) CAPACITY: I acknowledge that fact that I am capable of reading and comprehending the terms and conditions of this agreement. I further acknowledge that I am not under the influence of alcohol, illegal drugs, or prescription medication that would inhibit me from fully understanding this agreement, from following basic instructions pertaining to skydiving, aviation, or other activities relating to it, or participating in a highly dangerous activity such as skydiving, aviation, or other activities relating to it. I acknowledge that I have no physical or mental impairments that would prevent me from understanding this agreement or from being capable of participating in a highly dangerous activity such as skydiving, aviation, or other activities relating to it. I further acknowledge the fact that government issued photo identification will be requested and a copy of which may be kept by Jump Georgia Skydiving, LLC for the purpose of business records. I further acknowledge that I am over the age of 18. If I am not over the age of 18, I understand that a parent or a guardian will have to appear to sign this document in person in order to participate in skydiving, aviation, or any other related activities and that they will also bind their heir, successors, assigns, or third parties to this Agreement. 3) RIGHT OF JUMP GEORGIA SKYDIVING, LLC TO REFUSE SERVICE/FORFEITURE OF PAYMENT: I acknowledge that Jump Georgia Skydiving, LLC, its members, employees, or affiliates may deny me the ability to participate in skydiving, aviation, or any related activity for any of the following reasons, including but not limited to, behavior that would put Jump Georgia Skydiving, LLC, its members, employees, or affiliates at risk of bodily harm, serious bodily harm, or death, failure to complete instructional and educational activities pertaining to skydiving, aviation, or related activities in a satisfactory manner, failure to provide government issued identification to Jump Georgia Skydiving, LLC, its members, employees, or affiliates, evidence of being under the influence of alcohol, illegal drugs, or prescription drugs that would impair my ability to participate in skydiving, aviation, and its related activities, or would place a member, employee, or affiliate of Jump Georgia Skydiving, LLC in danger of bodily harm, serious bodily harm, or death, evidence of a physical or mental impairment that would prevent me from understanding the terms and conditions of this Agreement or could cause me bodily harm, serious bodily harm, or death, my not being of legal age to bind myself to this agreement or failure to have a parent or guardian sign this agreement in the presence of a member, employee, or affiliate of Jump Georgia Skydiving, LLC if I am not of legal age to sign this Agreement, or for any other reason that Jump Georgia Skydiving, LLC, its members, employees, or affiliates, may see fit for the purpose of denying me service. In the event that I am denied service, I acknowledge that Jump Georgia Skydiving, LLC reserves the right to have me forfeit any and all funds I have deposited or paid to Jump Georgia Skydiving, LLC, its members, employees, or affiliates for the time that it spent instructing me, revenue lost from my inability to participate in skydiving, aviation, or its related activities, or for any property that may be damaged as a result of my intentional or negligent acts or omissions. 4) SCOPE OF PARTIES TO AGREEMENT: I understand that this document is binding on any of my heirs, successors, and assigns or any third party with a legal interest in this Agreement that may be affected legally by my signing this Agreement. 5) ASSUMPTION OF THE RISK: I know and understand the scope, nature, and extent of the risks involved in skydiving, aviation, or related activities. I understand that I will be performing a parachute jump or jumps in a program pursuant to Federal Aviation Regulations 14 CFR Part 105.45, for tandem parachute jumps by persons wearing a dual harness, dual parachute pack. I have actual knowledge of the fact that the dangers stemming from the aforementioned activities may include death, severe and permanent injuries, including but not limited to, paralysis, broken bones, lacerations, concussions, and other major bodily trauma, as well as minor injuries, including but not limited to, cuts and bruises. I have actual knowledge of the fact that these injuries may stem from equipment malfunction and/or the failure of the equipment itself to function properly as designed, defective and/or negligent manufacturing of the equipment, improper and/or negligent parachute packing and/or assembly, improper and/or negligent operation and/or use of the equipment, aircraft malfunction and/or negligent aircraft operation, carelessness and/or negligent instruction and/or supervision. I have actual knowledge that the risks mentioned are representative of some of the events that lead to injury during the course of skydiving, aviation, or other related activities and that there are many other ways beyond the ones mentioned that may result in injury. I understand and appreciate the risks associated with the dangers that are involved in skydiving, aviation, or other related activities that may occur on the premises of 538 Beacon Road, Sylvania, GA 30467 and acknowledge that I have been informed of those risks by Jump Georgia Skydiving, LLC by virtue of this agreement. Furthermore, I acknowledge the fact that I am voluntarily exposing myself to the risks described in this paragraph with full and actual knowledge that they may result in death, serious bodily harm, or other injuries. 6) ASSUMPTION OF THE RISK: I know and understand the scope, nature, and extent of the risks involved in skydiving, aviation, or related activities. I understand that I will be performing a parachute jump or jumps in a program pursuant to Federal Aviation Regulations 14 CFR Part 105.45, for tandem parachute jumps by persons wearing a dual harness, dual parachute pack. I have actual knowledge of the fact that the dangers stemming from the aforementioned activities may include death, severe and permanent injuries, including but not limited to, paralysis, broken bones, lacerations, concussions, and other major bodily trauma, as well as minor injuries, including but not limited to, cuts and bruises. I have actual knowledge of the fact that these injuries may stem from equipment malfunction and/or the failure of the equipment itself to function properly as designed, defective and/or negligent manufacturing of the equipment, improper and/or negligent parachute packing and/or assembly, improper and/or negligent operation and/or use of the equipment, aircraft malfunction and/or negligent aircraft operation, carelessness and/or negligent instruction and/or supervision. I have actual knowledge that the risks mentioned are representative of some of the events that lead to injury during the course of skydiving, aviation, or other related activities and that there are many other ways beyond the ones mentioned that may result in injury. I understand and appreciate the risks associated with the dangers that are involved in skydiving, aviation, or other related activities that may occur on the premises of 538 Beacon Road, Sylvania, GA 30467 and acknowledge that I have been informed of those risks by Jump Georgia Skydiving, LLC by virtue of this agreement. Furthermore, I acknowledge the fact that I am voluntarily exposing myself to the risks described in this paragraph with full and actual knowledge that they may result in death, serious bodily harm, or other injuries.. EXEMPTION AND RELEASE FROM LIABILITY: I exempt, release, and hold harmless the following corporations, persons, and organizations: the United States Parachute Association (USPA), the City of Sylvania, the owners of any aircraft that may be utilized in connection with the services provided for under this agreement, the pilots of any aircraft that may be utilized in connection with the services provided for under this agreement, Jump Georgia Skydiving, LLC, Kian Morris, Jennifer Morris, Pascoal Rodrigues, Tim Jones
7) EXEMPTION AND RELEASE FROM LIABILITY OF INDEPENDENT CONTRACTORS: I further understand that the staff members at Jump Georgia Skydiving, LLC are independent contractors and are not employees of Jump Georgia Skydiving, LLC. I exempt and release all independent contractors affiliated with Jump Georgia Skydiving, LLC any third party legally associated with any of the aforementioned persons or organizations and any of the aforementioned persons or organizations spouses, heirs, successors, and assigns from any and all liability, claims, demands, causes of action arising out of my death, bodily injury to me, damage or loss of my property, or any other cause of action that may result in monetary or equitable relief under the laws of the State of Georgia or any other state and federal laws and regulations that may result from engaging in skydiving, aviation, or related activities, whether resulting from the negligence and/or other fault, either active or passive of any of the parties mentioned in this paragraph, third parties with a legal relationship to them, or their spouses, heirs, successors and assigns, or from any other cause. 8) COVENANT NOT TO SUE: I agree to never institute any suit or action at law, in equity, or by any other means against the United States Parachute Association (USPA), the City of Sylvania, the owners of any aircraft that may be utilized in connection with the services provided for under this agreement, the pilots of any aircraft that may be utilized in connection with the services provided for under this agreement, Jump Georgia Skydiving, LLC, Kian Morris, Jennifer Morris, Pascoal Rodrigues, Tim Jones, Henry Maierhoffer, Aeroborne Enterprises, Inc., the Sylvania-Screven County Airport Authority, Plantation Airpark, Adrenaline Wizard, LLC, Logan Hall, Rob Banks, Chuters, LLC, Jump Florida, LLC, Mirage Services Corp.,Manufacturers, Distributors, Dealers of skydiving equipment, Strong Enterprises, Lakeland Aircraft Maintenance, Shaun Slade, United Parachute Technologies (UPT), Skydive Orlanpa, all Strong & UPT Certified Tandem Instructors, Vigil USA LLC, Aviacom SA/NV, Paragon Rigging Service, Matt Shanley, VGT Research LLC, Aero Adventures LLC, the City of Plant City; and any and all of their Instructors, independent contractors, contractors and subcontractors, pilots, riggers, drivers, officers, directors, agents, employees, and members; the owners and manufacturers of the aircraft, motor vehicles, boats, land and equipment utilized for parachuting and related activities, including ground and water transportation associated therewith any third party legally associated with any of the aforementioned persons or organizations and any of the aforementioned persons or organizations spouses, heirs, successors, and assigns, or to initiate or assist in the prosecution in any claim or cause of action for damages, equitable relief, or for any other form of legally recognized relief in the State of Georgia or under federal laws and regulations by reason of my death or bodily injury to myself, arising from skydiving, aviation, or any other activity that may arise from the services rendered under this agreement, whether caused by negligence and/or other fault, either active or passive, of any of the aforementioned persons or organizations in this paragraph, or from any other cause. 9) INDEMNITY AGAINST THIRD PARTY CLAIMS: I will indemnify save and hold harmless, all Releasees, any third party with whom they have a legal relationship, and their spouses, heirs, successors, and assigns from any and all losses, claims, actions, or proceedings of every kind and character, including attorney fees and expenses, which may be presented or initiated by any other persons or organizations and which arise directly or indirectly from my participation in the activities and services provided for under this agreement whether caused by negligence and/or other fault, either active or passive, of any of the Releasees, or from any other cause. 10) I understand that if I institute, or anyone on my behalf institutes, any suit or action at law, equity, or for any other claim that may available under the laws of the State of Georgia or under federal laws or regulations because of my death, injury to my property, or for any other reason arising from skydiving, aviation, or any related activity covered under this agreement, that this agreement can and will be used as evidence in court, and that agreements such as this one have been upheld by state and federal courts in similar circumstances. 11) REPRESENTATIONS AND WARRANTIES: I represent and warrant that (a) I have no physical infirmity, except for those listed below, am not under treatment for any chronic ailment or injury of any nature, and have never been treated for any of the following: cardiac or pulmonary conditions or disease, diabetes, fainting spells or convulsions, nervous disorder, high or low blood pressure, or any other infirmity that would place me or anyone else at risk of bodily harm while participating in the sport of skydiving, aviation or other activities (b) I am not under any medication of any kind at the present time that would place me or anyone else at risk of bodily harm while participating in the sport of skydiving, aviation or other activities, (c) that I have not been scuba diving in the past 24 hours and (d) I am responsible for telling my instructor if I wear corrective lenses. If I have any of the aforementioned diseases, ailments, or maladies, then I acknowledge that I have received medical clearance from a licensed physician to engage in skydiving, aviation, or related activities. I realize that even a trained and licensed medical practitioner may be unable to diagnose physical or mental infirmities and that it is my responsibility to disclose all medical conditions that could place myself or others at risk of bodily harm while participating in the sport of skydiving, aviation, or other activities and I agree that if I fail to do so that I alone am responsible for any and all injuries that may occur to myself or others and hold harmless Jump Georgia Skydiving, LLC for failing to disclose said information. Furthermore, I acknowledge that the members and employees of Jump Georgia Skydiving, LLC are entitled to deny me services relating to skydiving, aviation, or related activities if they feel that it may be detrimental to my health and well being. 12. APPLICABLE LAW/ WAIVER OF JURY TRIAL/ VENUE/ HEADINGS: I agree that the law of the State of Georgia shall apply to issues involving the construction, interpretation, and validity of this Agreement and that Georgia law shall govern any dispute brought between the parties arising from all activities arising under this agreement relating to skydiving, aviation, instruction, or any other related activity that may occur under the course of the performance of this Agreement. Should this Agreement be violated and suit be brought against any of the Releasees, my right to a jury trial is waived, and the Releasees will exercise their rights under the Constitution of the State of Georgia for venue to be exercised in Screven County and that if I remove the case to federal court that all claims will be heard in the United States District Court for the Southern District of Georgia. I further agree that the Releasees, in their sole discretion, may compel me, my heirs, next of kin, distributees, executors, administrators, guardians, legal representatives and assigns to submit said claim to arbitration in accordance with the Arbitration Rules of the American Arbitration Association. I agree that the headings and subheadings in this agreement are for convenience only and have no significance in the interpretation of the body of this Agreement. 13) SEVERABILITY: I agree that should one or more of the provisions of this agreement be judicially determined to be unenforceable, the remaining provisions shall continue to be binding and enforceable against me. 14) PHOTO RIGHTS: I agree that Jump Georgia Skydiving, LLC for promotional purposes, can use any photograph or video recording of me relating to skydiving, aviation, or other related activities that occur on the premises of 538 Beacon Road, Sylvania, GA 30467 without my consent. 15) CONTINUATION OF OBLIGATIONS: I agree that the terms of this Agreement shall continue in full force and effect now and in the future at all times in which I participate, either directly or indirectly, in activities involving skydiving, aviation, or any related activity with Jump Georgia Skydiving, LLC or the organizations or persons affiliated with it and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. I understand that it is my responsibility to inform a member or employee of Jump Georgia Skydiving, LLC if any of the above provisions changes concerning my health, my capacity to fulfill the obligations to which I am bound now or at any future time, or any other circumstance which may result in a material change to the terms and conditions of this Agreement. I further agree that this Agreement supersedes and replaces any related agreement, waiver, or release from liability, which I have signed and obligated myself to prior to this time. I further understand that additional parties and or changes may be made to this waiver that may create new legally binding relationships or that terms in this agreement are subject to change. I hereby consent to any and all amendments or modifications may be made to the terms and conditions of this Agreement that may be made in the future. I understand that I, along with my spouse, heirs, successors, assigns, and third parties with whom I have a legal relationship will be bound in the future to any changes that may be made and that it is my responsibility to inquire about changes that are made and that I will be bound to this Agreement even if I fail to inquire about changes that are made. 16) NO INSURANCE AVAILABLE: I understand that the activities covered by this Agreement are not covered by any accident or liability insurance policy issued to Jump Georgia Skydiving, LLC, Jump Florida, LLC, or any independent contractor working for either company. 17) TRAINING: I represent and warrant that I have been thoroughly and completely trained in all activities contemplated by this Agreement. 18) LIMITATION OF WARRANTY: The Releasees warrant that the equipment provided for Skydiving/parachuting activities has been previously used for skydiving/parachuting activities. This warranty is the only warranty made and is made in lieu of any other warranties, express or implied, including, but not limited to, warranty of merchantability or fitness for a particular purpose. I understand and accept this limitation of warranty. 19. ACKNOWLEDGEMENT: I hereby acknowledge that I have read all of the provisions above and fully understand the terms and conditions expressed therein and agree to be bound by such terms and conditions. I HAVE FULLY READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO THIS RELEASE OF LIABILITY AND CONTRACT, AND I HAVE SIGNED IT OF MY OWN FREE WILL this day of April 27, 2025 at Jump Georgia Skydiving LLC, Sylvania, Georgia.
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