Zirk's HANG GLIDER/PARAGLIDER PILOT RELEASE FORM

     I, THE UNDERSIGNED, HEREBY REQUEST PERMISSION to enter the premises of: Arnold Zirk – Mineral County, WV and Charles Twigg – Allegany County, MD and participate in hang gliding or paragliding on or over said premises.  I have inspected said premises or will do soprior 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)