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SKYDIVE TC AGREEMENT, RELEASE OF LIABILITY AND ASSUMPTION OF RISK

THIS WAIVER MUST BE SIGNED ENTIRELY AND SOLEY BY THE PARTICIPANT WHO IS INTENDING TO MAKE A SKYDIVE AT SKYDIVE TC AND MUST BE SIGNED BY EACH PERSON MAKING A TANDEM SKYDIVE. IT CAN NOT BE SIGNED ON SOMEONE ELSE’S BEHALF.

FUN JUMPER SKYDIVING TERMS AND CONDITIONS

1. All participants must be at least 18 years old on the day of their jump and the day the waiver is signed.

2. All participants must bring a valid government issued phot ID (driver’s license, state ID, passport) to check in for their skydive.

3. You must be able to show currency as defined by the USPA.

4. The gear you bring to the dropzone must have a reserve card showing repack within the last 180 days per FAA regulations.

5. You will be weighed at check in with all your gear on in order to ensure aircraft weight and balance requirements are maintained. If we feel you will be unable to safely make a skydive due to physical or mental condition, we will not allow you to jump.

6. You should obtain a doctor’s release for participation in skydiving if you feel any physical or mental conditions you have might affect your safety, health, or performance during your skydive. If you are unsure whether you need a doctor’s release or not, you should contact your doctor and get a release. We do not give medical advice to participants as we are not doctors!

7. Participants may not be under the influence of alcohol, drugs, or prescription medication that will affect your judgement or limit your ability to perform. If we have “reasonable suspicion” or feel that you are not in an appropriate metal state to skydive, we will not allow you to jump and you may be charged for violating our cancellation policy.

8. If you need to cancel your appointment or adjust the number of fun jumpers in your party, you must do so with 24-hour notice. Failure to do so will result in you being charged a $50/person cancellation fee if you or anyone in your group cancels their jump with less than 24-hour notice.

9. If weather prevents you from skydiving, you will be allowed to reschedule or receive a refund.

10. Skydive TC strives to provide a safe, family friendly environments. We are a busy operation on a VERY BUSY tower-controlled airfield. Security at KTVC is very serious. At all times you must be under supervision once inside the Air Operations Area. All children must be constantly under direct supervision inside the hangar. Outside the Skydive TC hangar is a nice grass area with picnic tables and yard games. Please wait in that area if we are on a weather hold or under some kind of delay. We will make sure to alert you when it is time to load the aircraft. Listen for the 5 minute call and be ready.

11. We strive to schedule and operate efficiently to keep your time at Skydive TC to a minimum, but it is possible that it may take longer than you thought to complete your skydive due to weather delays. If you or your group members arrive late or do not have your waivers completed, it may delay your jump. Please arrive at your scheduled check in time!

12. We do not have a secure place for your valuables and are not responsible for lost or stolen items. You should leave all valuables in your car or with a member of your party.

13. You are more than welcome to take pictures from the ground. Please ask about the best location for your party to view your skydive.

14. For safety reasons, you will not be allowed to skydive with a camera or take it on the aircraft with you unless you have logged 200 or more jumps.

I have read and agree to the above terms and conditions

I Agree

In consideration of being permitted to utilize the facilities and equipment of Skydive TC, (and its associated entities), to engage in parachuting activities, ground instruction, flying and related activities, hereinafter collectively referred to as “Parachuting Activities.” I hereby agree as follows:

1. Parties Included: I understand that this Agreement, Release of Liability and Assumption of Risk includes the USPA and manufacturers, distributors and dealers of skydive equipment, the Northwest Regional Airport Authority, their officers, employees, volunteers, and agents, Denton Farms LLC, Giving Wings Aviation LLC, Grand Traverse Band of Ottawa and Chippewa Indians, AVFlight Traverse City Corporation, Royal Stag Aviation, LLC and all other branded companies owned by William Saputo, including William Saputo personally, Skydive TC LLC, its agents associated entities, managers, members, partners, employees, pilots, instructors, jump masters, parachute packers, the owners of any aircraft used and land utilized for “Parachute Activities“, the United States Parachute Association members, the State of Michigan, anyone working with or for Skydive TC, and ANYONE involved in my “Parachute Activities’” Hereinafter referred to in this Agreement, Release of Liability and Assumption of Risk as “Skydive.” All of the above parties are hereby collectively referred to as the “Released Parties.”

I Agree
.

2. Risks Contemplated: This agreement is made in contemplation of all “Parachuting Activities,” including but not limited to parachute jumping, ground instruction, flying and related activities, the exit, free fall, time under canopy, the landing, any rescue operations or attempts by “Skydive” whether on, above, or off the area known as Cherry Capital Airport, Traverse City, Michigan, or any facilities used by “Skydive.”

I Agree

3. Release From Liability. I hereby release and discharge the above “Released Parties” from any and all liability, claims, demands, or causes of action that I may hereafter have for injuries negligence or other fault of the above “Released Parties.”

I Agree

4. Covenant Not To Sue. I further agree that I will not sue or make claim against the above “Released Parties” for damages or other losses sustained as a result of my participation in “Parachuting Activities” even if caused by negligence or other fault of the above “Released Parties.”

I Agree

5. Indemnification and Hold Harmless. I also agree to indemnify and hold the above “Released Parties” harmless from all claims, judgments and costs, including but not limited to attorney fees, and to reimburse them for any expenses whatsoever incurred in connection with any action brought as a result of my participation in “Parachuting Activities.” I further agree that part of my obligation to indemnify and hold the above “Released Parties” harmless from all claims, judgments, and costs, I agree to post a bond in the amount of $5,000.00 in favor of the above “Released Parties,” in the event any action is brought as a result of my participation in “Parachuting Activities.”

I Agree

6. Assumption of Risk. I understand and acknowledge that “Parachuting Activities” are inherently dangerous and I expressly and voluntarily assume all risk of death or personal injury sustained while participating in “Parachuting Activities,” whether or not caused by the negligence or other fault of the above “Released Parties,” including but not limited to equipment malfunction from whatever cause, inadequate training, any deficiencies in the landing area, rescue attempts, bad landing, or any other injury I may sustain even if caused by negligence or any fault of the above “Released Parties.”

I Agree

7. Parties bound By This Agreement. It is my understanding that this agreement be binding not only on myself, but on anyone or any entity, including my estate and my heirs, that or who may be able to or does sue because of my injury or death. It is further my understanding and agreement that this agreement is intended to and does in fact release the above “Released Parties” from any and all claims or obligations whatsoever arising in any way from my participation in “Parachuting Activities,” even if caused by the negligence or other fault of the above “Released Parties.”

I Agree

8. Limitation of Warranty. “Skydive” hereby warrants that the equipment provided by “Skydive” has been previously used for “Parachuting Activities.” This warranty is the only warranty made and is made in lieu of any other warranties, expressed or implied, including but not limited to warranty of merchantability or fitness for a particular purpose.

I Agree

I have read the above paragraph and acknowledge that I understand it and accept the limitation of warranty.

9. Duration of Release. It is my understanding and intention that this agreement be effective not only for my first jump, but for any subsequent jumps or activities which are in anyway associated with the above “Released Parties,” no matter when they might occur.

I Agree

10. Enforceability. I agree that if any portions of this agreement are found to be unenforceable or against public policy, that only that portion shall fail, but I specifically waive any unenforceability or any policy or any policy argument that I may make or that may be made on behalf of my estate or by anyone who would sue because of my injury or death.

I Agree

11. Legal Rights. It has been explained to me, and I understand, that by signing this document I am giving up important legal rights and it is my intention to do so.

I Agree

12. Acceptance of financial responsibility. I understand that the released parties have no personal accident insurance or general liability insurance. I agree that I am solely responsible for any expenses, medical or otherwise, that I may incur from participation in “Parachute Activities”. I also agree that the released parties are in no way responsible to myself, my spouse and family, or my heirs for any hardship from loss of income or from expenses that may result from my injury or death. Furthermore, I agree to indemnify the released parties for any loss, liability, damage, or cost that they may suffer due to my presence in or upon their facilities and equipment.

I Agree

13. Nature of participants in parachuting activities. I acknowledge that pilots, instructors, jump masters, radio operators, mechanics, my fellow parachutists, and all others involved with parachuting are fallible human beings, capable of making mistakes that could result in my injury, suffering, or death.

I Agree

14. I hereby agree to waive all duty of care, whether by omission or commission, or any other duty which may be owed me by the above “Released Parties.”

I Agree

15. It is my agreement with the above “Released Parties” my intention that this document be broadly construed in favor of the above “Released Parties” and against me and that any and all ambiguities be resolved in favor of the above “Released Parties.”

I Agree

16. Choice of Laws. I agree that this agreement shall be interpreted under the laws of the state of Michigan, no matter where I reside or where I executed this agreement and participate in activities with “Skydive”

I Agree

17. Right to Use Name And/or Likeness in Advertising. I further acknowledge and agree that during the course of my participation in “Skydiving Activities,” “Skydive” may videotape or photograph me. I expressly agree to the use of my name, photograph, or any video footage involving me for advertising purposes, and release “Skydive” for any and all liability thereof.

I Agree

I hereby certify and warrant that the statements contained below in the “Participant Information” portion of this waiver are true and correct to the best of my knowledge an belief. I further certify and understand that acceptance of this application by Skydive TC will be made on the basis of the statements contained above, and such accepted application will become part of the agreement between myself and Skydive TC to provide the service. Participation in the sport of skydiving could cause serious injury or even death. It is an adult sport and should be considered such.

I Agree

Medical Treatment. In connection with any injury, I may sustain or illness or other medical conditions I may experience during my participation in “Parachute Activities” with Skydive TC LLC, I authorize any emergency first aid, medication, medical treatment, or surgery deemed necessary by the attending medical personnel if I am not able to act on my own behalf.

I Agree

Today's date: July 2, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Third Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Fourth Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Fifth Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Sixth Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Seventh Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Eighth Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Ninth Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Tenth Participant's Name

First Name*

Middle Name

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

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Understanding of Agreement
Do you understand that by signing this document you are giving up important legal rights set forth above in exchange for the opportunity to participate in parachuting activities, and that this document can and will be used against you in a court of law, and that similar documents have been upheld in several states including Michigan.?*
In spite of the above warning have you completely read this document, understood it and consent to all of the terms of this document and sign it with complete understanding and free will?*
STATEMENT OF MEDICAL INSURANCE

Your current medical insurance company ("none" for none):

Policy number ("none" for none):

IF YOU DO NOT HAVE MEDICAL INSURANCE PLEASE READ AND SIGN THE FOLLOWING STATEMENT.

No Medical Insurance Statement

I am not covered by medical insurance and I understand Skydive TC LLC and all related parties carry no 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 all medical expenses, injury or death sustained while participating in parachuting activities.


Type Signature
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:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
DRIVER’S LICENSE/PHOTO ID
  
ATTACH COPY OF VALID DRIVER’S LICENSE/PHOTO ID: *
Valid file types: JPG, GIF, PNG, and PDF
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Jumper Weight:

Jumper Weight as Weighed at Check In:

Height:
If you HAVE been treated for any of the following, check the box. Please note these conditions may or may not prevent you from making a skydive.
Cardiac or pulmonary condition or disease
Fainting spells, convulsions, or epilepsy
Hearing Loss
High or Low blood pressure
Nervous or mental disorder
Diabetes
Kidney or related diseases
Back Injury
Alcoholism
Drug Addiction or Dependency
Any Orthopedic Problems
Are you aware of or under treatment for any physical infirmity or chronic ailment or injury of any nature which could affect your ability to train and/or jump safely?*
No
Yes

If yes, please describe below (if no leave blank)
Are you under any kind of medication at the current time-or will you be under any medication when you make a skydive at Skydive TC?*
No
Yes

If under medication- please describe (if no-leave blank)
Do you have NORMAL vision or wear CORRECTIVE LENSES?
Normal Vision
I wear corrective lenses
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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