PA Skydive Center, Inc. dba Above the Poconos Skydivers - PARACHUTE JUMPER AGREEMENT This is an important legal document. Allow yourself sufficient time to carefully read and understand the entire document, You are welcome to seek your own legal counsel to explain it to you. Your initials indicates you understand and agree to all of the information and terms contained therein and by signing it, you are agreeing to give up certain legal rights. I have viewed and I warrant that I fully understand the accompanying “PA Skydive Center, Inc. - Parachute Jumper Agreement” video. MEDICAL STATEMENT I represent and warrant that I have no known physical or mental infirmities or infections that would impair my ability to participate safely in skydiving for myself and others, or if I do have any such infirmities, they have been or are being successfully treated so they do not represent any foreseeable risk to myself or others. I hereby certify I am not taking any medications or substances, prescription, or otherwise, that would impair my ability to participate in skydiving. I also recognize it is against Federal, State, Skydiving Center, and U.S. Parachute Association rules and regulations to take either alcohol or drugs (any substance that impairs your ability to safely partake in skydiving) while engaging in parachuting activities and agree to refrain from doing so. I also certify I will allow sufficient time for the effects of alcohol and drugs/medication to be fully eliminated from my body prior to skydiving. October 11, 2024* Temporarily clogged ears are common after a skydive, but if you have a stuffed up head use caution! If you cannot breathe through your nose, the rapid pressure change of an extended free fall can result in extreme pain or even a broken eardrum. AGREEMENT AND RELEASE OF LIABILITY In consideration for being permitted to utilize the facilities and equipment of PA Skydive Center, Inc. dba Above the Poconos Skydivers and to engage in parachute jumping, ground instruction, flying and related activities hereinafter collectively referred to as “parachuting activities,” I certify I am at least 18 years of age and HEREBY AGREE AS FOLLOWS: 1) I understand and acknowledge that parachuting activities involve danger to me and can cause serious and fatal injuries and possibly infections. 2) I hereby RELEASE AND DISCHARGE PA Skydive Center, Inc.dba Above the Poconos Skydivers, pilots, instructors, coaches, helpers, owners of the aircraft, owners of land utilized for parachuting activities, United States Parachute Association and owners, manufacturers, distributors and dealers of skydive equipment. Hereinafter collectively referred to as the “Released Parties,” from any and all liability, claims, demands or causes of action that I may hereafter have for infections, injuries and damages arising from my participation in parachuting activities, INCLUDING BUT NOT LIMITED TO, LOSSES CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES. 3) I further agree that I WILL NOT SUE OR MAKE A CLAIM against the Released Parties for damages or other losses sustained as a result of my participation in parachuting activities. I also agree to INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS from all claims, judgments and costs, including attorney’s fees, incurred in connection with any action brought as a result of my participation in parachuting activities. 4) I understand and acknowledge that parachuting activities have inherent danger that no amount of care, caution, instruction or expertise can eliminate, and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR PERSONAL INJURY OR INFECTION SUSTAINED WHILE PARTICIPATING IN PARACHUTING ACTIVITIES WHETHER OR NOT CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES. 5) I have been advised and recognize that parachuting activities are not covered by any personal accident or general liability insurance policy issued to the Released Parties. 6) SEVERABILITY / MULTIPLE WAIVERS: I agree that should one or more provisions in this Agreement be 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 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 to PA Skydive Center, Inc. shall be enforceable against me by PA Skydive Center, Inc. 7) CONTINUATION OF OBLIGATIONS. I agree and acknowledge that the terms and conditions of the foregoing agreement shall continue in force and effect now and in the future at all times during which I participate, either directly or indirectly, in parachuting activities, and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. 8) I agree to make sure the equipment I use is in-date and kept in accordance with the FAR's. I Agree October 11, 2024
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