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Payment Information
Check Complete and submit this form then send a check payable to Highland Aerosports, 24038 Race Track Rd. Ridgely, MD 21660. IMPORTANT: Your check must be postmarked within 3 days of submitting this form to preserve your date of registration (the date this form is submitted). Please do not delay or you may end up on the waiting list. Fax Complete and submit this form then fax your credit card information to us at 410-634-2775 Please call 410-634-2700 or email us to verify that your fax was received in whole.
Phone complete and submit this form then call us with your credit card information during normal office hours at 410-634-2700 Credit Card Visa Master Card Discover
Warning: This site is not secure. Your credit card information will be sent as an email attachment. If you are concerned, select 'phone' and call us with your card information at 410-634-2700 CC# Expires Name on card
Pilot Request And Release
2007 East Coast Hang Gliding Championship
I, THE UNDERSIGNED, HEREBY REQUEST PERMISSION TO participate in flight practice, tests, contests and competitions to be held during the East Coast Hang Gliding Championship at the Highland Aerosports Flight Park located within the Ridgely Airpark. I have inspected the premises and I know the risks and dangers involved in the stated activities and that unanticipated and unexpected dangers may arise during such activities and I accept all risks of injury to my person and property that may be sustained in competition or otherwise with the stated and associated parties, in and about the premises.
IN CONSIDERATION OF THE PERMISSION GRANTED TO ME to enter the premises and participate in the stated activities, and in light of the consideration of the provisions of a liability insurance plan, I do hereby, for myself and my heirs, administrators and assigns, release, remise and discharge the owners, operators and sponsors of the said premises, of the activities, of the hang gliders and of the associated equipment, and their respective servants, agents, officers, and officials and all other participants in the stated activities due to negligence or any other fault.
I FURTHER DO HEREBY, for myself and my heirs, administrators and assigns, release, remise and discharge the UNITED STATES HANG GLIDING ASSOCIATION et all of their activities of the hang gliders and the associated equipment and their respective servants, officers and officials of and from all claims, demands and causes of action of any sort, for injuries sustained by my person and/or property during my presence in said premises and participation in the stated activities due to negligence or any other fault.
I REPRESENT AND CERTIFY that my true name is stated above and if I am under the age of 21 years, I do represent and certify that I have permission of my parents and/or guardians to participate in the stated activities and that they have full knowledge thereof.
I CERTIFY THAT MY ATTENDANCE AND PARTICIPATION in the stated activities is voluntary and that I am not in any way the employee, servant, or agent of the owners, operators, or sponsors of the premises and/or the activities therein.
I CERTIFY THAT I HAVE AEROTOWED IN COMPETITION CONDITIONS and that I have my Aerotow Rating and I am a skilled aerotow pilot.
I HAVE READ, UNDERSTAND AND AGREE TO THE FOREGOING REQUEST AND RELEASE. I HAVE READ AND UNDERSTAND THE TERMS OF REGISTRATION AND THE REFUND POLICY.
YES NO
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