Loading...

Release and Waiver of Liability

IN CONSIDERATION of being given the opportunity to participate in the DILLON AERO, INC./DILLON FLIGHT TEST, INC/DILLON PRECISION PRODUCTS, INC (“DILLON”) (name of Activity provided in the next section) held on (date of Activity provided in the next section) at the (name of/description of Activity location, ex. Flying Bucket Ranch (“FBR”), Ben Avery Range (“BAR”), Mad Dog Valley (“MDV”), etc. provided in the next section) I (“Participant”), for myself, my personal representatives, assigns, heirs, and next of kin:

1. ACKNOWLEDGE, agree and represent that I understand the nature of the activities taking place, and that I am in good health, and in proper physical condition to participate in such Activities.

2. FULLY UNDERSTAND that: (a.); ACTIVITIES SUCH AS SHOOTING AND/OR FLYING IN HELICOPTERS OR BEING IN THE VICINITY OF THESE ACTIVITIES INVOLVE RISKS AND DANGERS of serious bodily injury, including permanent disability, paralysis and death ("Risks"); (b.) these Risks and dangers may be caused by my own actions, or inactions, the Actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the Releases named below; (c.); there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in the Activity.

3. AGREE AND WARRANT that I will examine and inspect each Activity in which I take part, if I observe any condition which I consider to be unacceptably hazardous or dangerous, I will refuse to take part in the Activity.

4. ACKNOWLEDGE, that there are hazards, known and unknown, to flying in private helicopter and fixed wing aircraft utilized for demonstrations, observational work or for special purpose missions which could cause death and/or serious personal injuries. Additionally, if the activity takes place at the FBR, I especially note that the FBR has numerous hazards, such as unimproved areas with steep grades, slippery and muddy/dirty/rock-strewn trails. The FBR has both natural and man-made hazards such as, but not limited to, unexploded ordnance, falling/crashing/burning aircraft/objects, roots, rocks, deep sand, logs, dirt, mud, sticks, trees, poisonous plants and venomous animals, old cables, debris, shrapnel, broken glass, etc. which could cause death and/or such injuries as, but not limited to, tripping, falling, crushing, abrasion, laceration, puncture, burns, blindness, poisoning, heat/sun stroke, hypothermia, gunshot injury, mosquito and tick born illnesses, etc.

5. ACKNOWLEDGE, that communications (such as cellular phone service) at the FBR are not reliable, that calls for emergency assistance from the FBR may not be possible, and that emergency medical services may not arrive at the FBR in a timely manner.

6. ACKNOWLEDGE, that due to the significant eye injury risks present at the FBR (and potentially other Activity locations as well) that I shall use extensive and adequate eye protection (ex. wrap around) at all times while at the FBR (or at the Activity location). I will also use appropriate hearing protection.

7. HEREBY RELEASE, discharge, and covenant not to sue Dillon Flight Test, Inc., Dillon Aero, Inc., Dillon Precision Products, Inc., The Flying Bucket, LLC, the Flying Bucket Ranch, Dillon Optics, Inc., Mad Dog Valley, LLC, Spitfire Aviation, LLC and their administrators, directors, agents, officers, volunteers and employees, other participating organizers, any sponsors, advertisers, and if applicable, owners and leasers of premises, on which the Activity takes place, (each considered one of the Releasees herein) from any and all liability, claims, demands, losses or damages of any kind or nature on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations; and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the Releasees, from any litigation’s expenses, attorney fees, loss, liability, damage, or costs whatsoever of any kind or nature which any Releasee may incur as a result of such claim.


I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.

Date: April 12, 2024

DillonAero
8009 East Dillons Way
Scottsdale, AZ 85260 USA

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

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

Date of Activity:
Name of Activity*
Fam Flight
Live Fire Course
Live Fire Demo
Other (Please Specify Below)

If "Other" selected please specify:
Description of Activity Location*
Flying Bucket
Ben Avery Range
Other (Specify Below)

If "Other" selected please specify:
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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!