US FLIGHT EXPO, MAY 2017
Pilot Name____________________________________ Cell Phone______________________
Company or N/A________________________________ Exhibit Space #__________________
Aircraft Type_____________________ N-Number___________ Current Annual_____________
Pilot: Certificate #_____________________Rating Type_______________________________
Date of Medical___________________________ (If Applicable)
I wish to fly in a sport aircraft during the US Flight Expo at Marana Regional Airport. I realize I must release claims that I have, or might have, deriving from the use of the Aircraft listed above.
I certify that:
I am over 18 years of age.
I understand the inherent risks of flying, to include personal injury, damage to my property, and potentially my death. I assume these risks of my own free will.
I acknowledge that no warranties have been given to me with regard to the safety of the flight, the fitness of aircraft, or the conduct of the other aircraft at the airport.
I agree to abide by all the rules concerning the US Flight Expo and Marana Regional Airport operating areas as well as those that apply to aircraft arriving and departing the Marana Regional Airport (KAVQ), in addition to rules set forth by FAA that are applicable to my flight operations.
Release: I (and all of my associates) hereby release and hold harmless the US Flight Expo, Marana Regional Airport, Tucson Aeroservice Center, AirBoss and the Town of Marana from any and all claims, actions, attorney’s fees, benefits, rights, damages, expenses and compensation whatsoever resulting from any act or omission by the aforementioned company/authority.
Indemnification and Hold Harmless: I agree to assume all risk of and indemnify, defend, and save harmless the Us Flight Expo, Marana Regional Airport, Town of Marana and Tucson Aeroservice Center from and against any and all loss, damages, cost or expense arising in any manner as a result of my activities at the US Flight Expo. I will, at my own expense, defend and protect the aforementioned parties against any and all claims or demands which may be claimed as a result of or in connection with my actions at the US Flight Expo.
Pilots: I promise that I am a qualified pilot, I have properly checked out the aircraft that I will fly and that I agree with all provisions in this waiver. I understand in order to be permitted to fly or otherwise operate such aircraft I am willing to take upon myself and release all others from the responsibility for any and all injuries, losses and damages to myself (and property), or the property of others. I understand that any instructions which are given to me concerning the operation of any Aircraft are permitted only because of my willingness to waive and release the claims and rights mentioned in this document.
I understand that I am not required to sign this waiver, but will not be allowed to engage in the operations of the aircraft as a pilot (or passenger)if I do not execute the waiver.
In witness of m Agreement to the foregoing, I execute this document on the __day of May, 2017.
Signature of Releasor (Pilot) Signature of Witness
Pilot Name (Print)
(Subject to modification in advance of event. Waivers forms will be provided on-site at the Flight Demonstration Control Tent)