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Release of Rights and Assumption of Risk Agreement


WARNING: YOU ARE A VOLUNTEER JUMPER. AVIATION, SKYDIVING, AND ALL RELATED ACTIVITIES ARE DANGEROUS AND CAN CAUSE MAJOR PERMANENT INJURY, PAIN, SUFFERING OR DEATH.

In consideration for being permitted to participate in New Mexico Skydive, LLC Skydiving Program, which includes but is not necessarily limited to skydiving/parachute jumping, solo jumping, “fun jumping,” student jumping, ground instruction, ratings instruction, and tandem jumping with the incidental use of an airplane, ground transportation and other related activities (hereinafter collectively referred to as “activities covered by this Agreement”) conducted by New Mexico Skydive, LLC,

I hereby agree as follows:

THIS IS A RELEASE OF YOUR RIGHTS, READ CAREFULLY AND UNDERSTAND ITS PROVISIONS BEFORE SIGNING

1. Release of Liability. I hereby release and discharge New Mexico Skydive, LLC and its instructors, members, students, coaches, jumpmasters, pilots, other participating skydivers, riggers, parachute packers, drivers, ground crew, officers, directors, agents, employees, staff, owners, managers, and independent contractors as well as the owners of land, hangars, ground and water transportation vehicles, facilities, and aircraft occupied or used by New Mexico Skydive, LLC, Winkler Aircraft Leasing Inc., Lightening Bar A Hangars, LLC, Peregrine Manufacturing, Inc., Uninsured United Parachute Technologies, LLC, Strong Enterprises, Inc., Performance Designs, Inc., Flight Concepts International, Inc., Precision Aerodynamics, Inc., Parachute Laboratories, Inc., SSK Industries, Inc., Vigil America, Inc., Uninsured Skydive Atlanta, LLC, Belen Regional Airport and its officers, agents, officials, employees and independent contractors, the United States Parachute Association and its affiliates, officers, agents, officials, employees, and independent contractors, and all manufacturers, distributors and dealers of skydiving equipment and their affiliates, officers, agents, officials, employees, and independent contractors, the City of Belen, the County of Socorro, the County of Valencia, the State of New Mexico, and all other land owners and sponsors associated with demonstration parachute jumps, and all of the officers, employees, subcontractors, assistants, heirs, legal representatives and assigns of the entities listed herein (hereinafter referred to as “Releasees”), from any and all liability, claims, demands, or causes of action whatsoever arising out of any damage, loss or injury to me or my property, or my death, while participating in any of the activities covered by this agreement, whether resulting from the negligence or other fault, either active or passive, of any of the Releasees, or from any other cause.


2. Assumption of Risk. Parachuting activities, including ground instruction, student training courses, parachute jumping, flying in aircraft, and related activities are inherently dangerous. Injuries requiring professional medical care are not uncommon, and serious injury or death can and has resulted from participation in parachuting activities. Not all of these risks can be foreseen, prepared for, or avoided; even if I do everything as I was trained to do and all equipment functions properly, I can still be injured or killed during parachuting activities. I know and understand the scope, nature and extent of the risks involved in the activities covered by this Agreement and that some dangers cannot be foreseen. I understand that these risks include but are not limited to: equipment malfunction or failure to function, defective design or manufacture of equipment, improper or negligent parachute packing or assembly, improper or negligent operation or use of the airplane or other equipment, carelessness or negligence of skydivers, instructors, Jumpmasters, pilots, or ground crew, improper or negligent instruction or supervision, and rapid changes in weather conditions. I understand that skydiving has no importance to society. I voluntarily, freely, and expressly choose to incur all risks associated with the activities covered by this Agreement, understanding that those risks may include bodily and personal injury, damage to property, severe bodily and personal injury, disfigurement, or death. I voluntarily and freely choose to incur such risks and take responsibility, including legal responsibility, therefore. 


3. Agreement Not to Sue. I agree never to institute any lawsuit or cause of action against any of the Releasees, or to initiate or to assist in the prosecution of any claim for damages against the Releasees which I may have by reasons of injury to my person or property, or my death, arising from the activities covered by this Agreement, whether caused by the negligence or fault, active or passive, of any of the Releasees, or from any other cause. I further agree that my heirs, executors, administrators, personal representative, or anyone else claiming on my behalf shall be bound by my agreement not to sue. I agree that Releasees shall be entitled to recover their attorney’s fees and costs incurred in the defense of any lawsuit brought by me or by anyone on my behalf. 


4. Indemnity Against Third Party Claims. I agree to indemnify, save, and hold harmless Releasees 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 person or organization and which arise directly or indirectly from my participation in the activities covered by this Agreement, whether resulting from the negligence or other fault, either active or passive, of any of the Releasees, or from any other cause. 


5. Optional Waiver of Contract Defenses. I understand that this Agreement is a contract pursuant to which I have released any and all claims against the Releasees resulting in any way from participation in the activities covered by this Agreement, INCLUDING ANY CLAIMS CAUSED BY THE NEGLIGENCE OF THE RELEASEES. I acknowledge that I have been given an option to purchase, on a per jump basis, a waiver of the provisions contained in Paragraphs 1, 2, 3 and 4 of this Agreement at an additional cost of Nine Hundred Dollars ($900.00) per skydiving jump. I understand that if I choose to purchase a waiver of the provisions contained in Paragraphs 1, 2, 3 and 4 of this Agreement, that such purchase does not constitute a contract of insurance, but only a waiver of the contractual defenses contained in Paragraphs 1, 2, 3 and 4 of this Agreement. (Choose either A or B below in the next section):

A. I choose to pay $900.00 per jump for waiver of Releasees’ contractual defenses

B. I choose not to pay $900.00 per jump for waiver of Releasees’ contractual defenses

6. Applicable Law/Waiver of Jury Trial/Venue. I agree that this Agreement shall be governed by and construed in accordance with the laws of the State of New Mexico without giving effect to any choice or conflict of law provision or rule (whether of the State of New Mexico or any other jurisdiction). I further agree that New Mexico law shall govern any dispute arising from the activities covered by this Agreement. SHOULD THIS AGREEMENT BE BREACHED AND SUIT IS BROUGHT AGAINST ANY OF THE RELEASEES, THEN EACH PARTY IRREVOCABLY AND UNCONDITIONALLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL ACTION, PROCEEDING, CAUSE OF ACTION OR COUNTERCLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT, OR THE TRANSACTIONS CONTEMPLATED HEREBY. Any legal suit, action or proceeding arising out of or relating to this Agreement or the transactions contemplated hereby shall be instituted in District Court of the State of New Mexico for the 13th Judicial District, County of Valencia (hereinafter “District Court”). I irrevocably submit to the exclusive jurisdiction of the District Court in any such suit, action or proceeding. I irrevocably and unconditionally waive any objection to the laying of venue of any suit, action or proceeding in such courts and irrevocably waive and agree not to plead or claim in any such court that any such suit, action or proceeding brought in any such court has been brought in an inconvenient forum. I further agree that any ambiguities in this Agreement shall be construed in the favor of the Released Parties. 


7. Binding Arbitration of Disputes. Any controversy or claim arising out of or relating to this Agreement, or the breach thereof, shall be determined by final and binding arbitration administered by the American Arbitration Association ("AAA") under its Consumer Arbitration Rules and Mediation Procedures ("Consumer Rules"). There shall be one arbitrator agreed to by the parties within twenty (20) days of receipt by respondent[s] of the request for arbitration or in default thereof appointed by the AAA in accordance with its Consumer Rules. The seat or place of arbitration shall be the City of Albuquerque, County of Bernalillo, State of New Mexico. Except as may be required by law, neither a party nor the arbitrator[s] may disclose the existence, content, or results of any arbitration without the prior written consent of both parties, unless to protect or pursue a legal right. The award rendered by the arbitrator shall be final, non-reviewable, non-appealable, and binding on the parties and may be entered and enforced in any United States District Court or state court located in the State of New Mexico. Judgment on the award shall be final and non-appealable. 


8. Limitation of Warranty. The Releasees warrant that the equipment provided by New Mexico Skydive, LLC 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. 


9. Equipment Adjustments and Close Personal Proximity. I understand that by volunteering to participate in student jumps including tandem, static line, IAD, and AFF, I will be suited with a harness and other equipment that will need to be snugly adjusted and inspected. If I am participating in a tandem jump, I understand my body will be hooked up closely to an instructor’s body and parachute equipment. For reasons of safety and control, these points of connection and contact will need to be tightly and snugly adjusted together. This will bring my body within close proximity to the Instructor. During the course of instruction, gear-up, and skydive, I understand that as a tandem, static line, or AFF student, I may be touched, pushed, pulled, or adjusted in places that I consider to be private, personal, or offensive. I hereby acknowledge and accept this procedure and treatment and release the Releasees from any claim of inappropriate physical or sexual contact, abuse, or harassment. 


10. Severability of Provisions. I agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the State of New Mexico and if any portion of this Agreement is found to be unenforceable or against public policy, that only those portions shall fail, and I agree to be bound to the remainder of the Agreement. 


11. Continuation of Obligations. I agree that the terms and conditions of this Agreement shall continue in full force and effect now and in the future at all times during which I participate, either directly or indirectly, in the activities covered by this Agreement, and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on by behalf. This Agreement supersedes and replaces any prior such Agreement between the Releasees and myself and shall remain in full force and effect until such time as I unequivocally revoke the same by submitting written notice of such revocation to New Mexico Skydive, LLC via Certified U.S. Mail, Return Receipt Requested. 


12. No Insurance Available. I understand that the activities covered by this Agreement are not covered by any accident or liability insurance policy issued to any of the Releasees. 


13. Ground and Water Transportation Not Mandatory. I understand that my use of ground or water transportation provided by the Releasees between the landing area and the airport, or any other location is not mandatory, and that I may walk or provide my own transportation if I choose to do so. 


14. Acknowledgement of Waiver of Rights. I am Eighteen (18) years of age or older and mentally competent to enter into this Agreement. I understand that by signing this document, I am giving up important legal rights, and it is my intent to do so. 


15. Physical Condition. I acknowledge and agree that I will not participate in activities covered by this Agreement in circumstances where I am under the influence of alcohol, drugs, mental disease, or where I have a physical limitation, ailment, or other condition which would render me less mentally or physically competent to participate in the activities covered by this Agreement. 


16. Entire Agreement. I understand this Agreement contains the entire agreement between the parties to this Agreement and that the terms of this Agreement are contractual and not a mere recital. 


17. Photo and Video Release. For valuable consideration received, I hereby grant New Mexico Skydive, LLC and its legal representatives and assign the irrevocable and unrestricted right to use and publish photographs or video images of me, or in which I may be included, for editorial, trade, advertising and any other purpose and in any manner and medium, to alter the same without restriction; and to copyright the same. 


18. Equipment. I agree that if I lose or damage any equipment belonging or leased to New Mexico Skydive, LLC, I am responsible for the replacement cost of the item lost or damaged.  


19. Density Altitude. I understand that the New Mexico Skydive, LLC landing areas are approximately 5,200 feet above mean sea level. I understand and agree that it is my obligation to consult my equipment owner’s manuals and/or a New Mexico Skydive, LLC Instructor for how this may affect my parachute landings. 


20. To be completed in the next section.

By way of acceptance of this agreement, the Participant has affixed his or her signature this day of September 17, 2024.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
First Participant's Signature*
Second Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Third Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Fourth Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Fifth Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Sixth Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Seventh Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Eighth Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Ninth Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Tenth Participant's Name

First Name*

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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Notify In Case of Emergency

Name: *

Telephone No.: *

Relationship to Participant: *

Address: *

Email address: *
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(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

5. Optional Waiver of Contract Defenses - Continued

Choose either A or B below:*

20. Continued

I have read this entire Agreement and fully understand its terms. It is not contrary to New Mexico public policy. I acknowledge that I have had the opportunity to consult with an attorney of my choosing if I so desire, and I agree to be legally bound by this Agreement. 


IN THE SPACE BELOW, PLEASE PRINT THE CONTENTS OF PARAGRAPH 20:

Weight:

Height:

Government Issued Identification Type:

Number:

Exp:

Medical Insurance


Current medical insurance company:

Policy number:

For Those Without Medical Insurance: 

I am not covered by medical insurance, and I understand that neither New Mexico Skydive, LLC nor any other Releasee carries liability insurance. In spite of warnings about the dangers of parachuting, I intend to engage in parachuting activities even though I am not insured. This is a conscious decision on my part, and I expressly and voluntarily assume all risk and responsibility for injury or death sustained while participating in parachuting activities.
I agree

FOR LICENSED JUMPERS ONLY:


USPA Membership Number:

USPA License Number:

USPA Expiration Date:

Date of Last Jump:

Total Number of Jumps:

Jumps in last 12 months:

Jumps in last 30 days:

Time in sport:

Equipment Information-


Container:

Main:

Wing Load:

Reserve:

Wing Load:

Reserve Repack Date:

AAD:

Gear Checked by:
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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