Fairgrounds HANG GLIDER/PARAGLIDER PILOT RELEASE FORM
I, THE
UNDERSIGNED, HEREBY REQUEST PERMISSION to enter the premises of: John Miltenberger – Mineral Co, WV and Allegany County, MD and its Commissioners
(Allegany County Fairgrounds) and participate in hang gliding or paragliding on
or over said premises. I have inspected said premises or will do so prior to my
flying there, and I know the risks and danger involved in said activities and
that unanticipated and unexpected dangers may arise during such activities, and
I accept all risks and responsibility for injury to my person, death, and/or
damage to property that may be sustained while engaged in flying activities on
and about the premises.
________
(initial)
IN CONSIDERATION OF THE PERMISSION GRANTED TO ME to enter the
premises and participate in stated activities, I do hereby, for myself and my
heirs, administrators and assigns, release, remise, and discharge the owners and
operators of said premises from all claims, demands, and causes of action of any
sort, for injury to my person, death, or damage to property, during my presence
on or over said premises due to negligence or any other fault.
________
(initial)
I FURTHER DO HEREBY, for myself, my heirs, administrators and
assigns, release, remise, and discharge the MOUNTAINEER HANG GLIDING ASSOCIATION
and the UNITED STATES HANG GLIDING AND PARAGLIDING ASSOCIATION; their respective
servants, agents, officers, and officials from all claims, demands, and causes
of action of any sort, for injury to my person, death, and/or damage to property
that may be sustained during my presence on or over said premises due to
negligence or any other fault.
________ (initial)
I CERTIFY THAT I HAVE READ
AND UNDERSTOOD THE FOREGOING HANG GLIDER/PARAGLIDER RELEASE AND REQUEST and that
by my signature below I recognize this is a LEGAL AND BINDING CONTRACT and my
voluntary participation in flying and related activities is done entirely at my
own risk.
_________
(initial)
SIGNED:
_________________________________________ DATE:_____________
_________________________________________
(Printed Name)
I CERTIFY I HAVE WITNESSED
THE SIGNATURE OF THE ABOVE-NAMED:
WITNESS:________________________________________ DATE:______________
_________________________________________
(Printed Name) |