ASC, PO Box 589, Marshall, MI 49068 phone 269-781-4021 fax 269-781-7400 email kimojim@aol.com
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ASC, PO Box 589, Marshall, MI 49068 phone 269-781-4021 fax 269-781-7400 email kimojim@aol.com
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"Property Access and Use" Application and Release Form Pilot’s Name __________________________________________________ Street Address ________________________________________________ City, State, Zip ________________________________________________ Phone ( ) _____ - _____ I understand that ultralight flying is a potentially dangerous activity that may result in injury or death. I understand that ultralight flying is regulated by the Federal Aviation Administration under FAR Part 103 and its exemptions and that ultralight vehicles and ultralight flight instructors are recognized by ASC and are not certified by the FAA. It is the sole responsibility of each individual participating in ultralight activities to ensure his or her own safety and the airworthiness of the ultralight vehicle that he flies. I understand and agree that Aero Sports Connection, Inc., also known as ASC, is a private organization whose purpose is to support and promote ultralight aviation, and that ASC provides no regulation or control of individuals, instructors, or vehicles and therefore ASC, its staff, and those listed, cannot be held liable or responsible for any flight operations that result in injury or death to any person or property damage of any kind. I herewith assume full and complete responsibility for all risks of injury or death, whether hidden, obvious or latent. I further agree not to bring legal suit against the land owner or those listed, for any reason. Those listed: Land owner and/or operator covered by this agreement: Others covered:
Agreed this date: ______________________________ ______________________________ date _______Pilot (signature) Pilot name (print) |
Copyright all rights reserved, ASC(r)
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