1. I hereby RELEASE AND DISCHARGE (Initial here_____) Chad Bastian, Bob Peloquin, Bruce Kirk, American Paragliding, Fly Above All, Inc., TrikeBuggy, Inc., it's owners, agents, employees, instructors, pilots, monitors, assistants and the owners of the equipment and the land used for gliding activities (herein after collectively referred to as "Released Parties"), from any and all liability, claims, demands or causes of action that I may hereafter have for injuries and damages arising out of my participation in gliding activities, including but not limited to losses CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES (Initial here_____).
2. 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 gliding activities (Initial here_______). 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 gliding activities (Initial here _______).
3. In understand and acknowledge that gliding activities have inherent dangers that no amount of care, caution, instruction, or expertise can eliminate and EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR PERSONAL INJURY SUSTAINED WHILE PARTICIPATING IN GLIDING ACTIVITIES WHETHER OR NOT CAUSED BY THE NEGLIGENCE OF THE RELEASE PARTIES (Initial here ______).
4. I have been advised and recognize that my gliding activities are not covered by any personal accident or general liability insurance policy issued to the Released Parties (Initial here _______).
5. I hereby expressly recognize that this agreement and Release of Liability is a contract pursuant to which I have released any and all claims against the Released Parties resulting from my participation in gliding activities including any and all claims caused by the negligence of the Released Parties (Initial here _______).
6. I agree to be financially responsible for any equipment damaged during my training if the equipment is not owned by me (Initial here_____).
7. Releasor expressly agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of California and that, if any portion of the agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect (Initial here_____).
8. Releasor releases all officials and professional personnel from any claim whatsoever on account of first aid, treatment or service rendered releasor during participation in any of the above mentioned activities (Initial here_____).
9. This release contains the entire agreement between parties to this agreement and the terms of this release are contractual and not a mere recital (Initial here_____).

   Dated______________________Signature________________________________

   Name________________________________Date of Birth___________________

  Address____________________City______________State_____Zip__________

 Phone (______)_______________ Email ________________________________

    In Emergency Contact______________________Phone (______)______________

    USHPA #_________Expiration Date_________LPPF Donation Amount ________