Fill and Sign the Release of Claims for Future Accidental Personal Injuries or Death by Individual Participating in Parachute Instruction Form

Release of Claims for Future Accidental Injuries or Death by Individual Participating in Parachute Instruction Release executed on the ___ day of __________, 20____ by ______________________ who resides at ____________________________________________ (street address, city, county, zip) in favor of ____________________________________________doing business at ____________________________________________ (street address, city, county, zip). I, ______________________, hereby acknowledge that I have voluntarily applied to participate in parachuting instruction and training, culminating in a parachute jump at ____________________________________________ (address) supervised by ______________________ . I am aware that parachute instruction and jumping are hazardous activities, and I am voluntarily participating in these activities with the knowledge of the dangers involved and I hereby agree to accept any and all risks of injury and death . _________ (participant = s initials). For and in consideration of being permitted by ______________________ to participate in these activities and use their facilities, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I hereby agree that I, my heirs, legal representatives and assigns will not make a claim against, sue, or prosecute ______________________ and/or any of its affiliated organizations for injury or damage resulting from the negligence or other acts, howsoever caused, by any employee, agent or contractor of ______________________ , or its affiliates, as result of my participation in parachuting activities. In addition, I hereby release and discharge ______________________ and its affiliated organizations from all actions, claims or demands I, my heirs, legal representatives or assigns now have or may hereafter have for injury or damage resulting from my participation in parachuting activities. I have carefully read this agreements and fully understand its contents. I am aware that this is a release of liability and a contract between myself and ______________________ , and I have signed it of my own free will. Witness my signature this the ____ day of ______________, 20___. __________________________