Parental Consent Skydive Canyonlands is excited to now offer students 16 years of age and older the chance to do a tandem skydive. We do need a few more items of consent before we can take students under 18. Before a student under age 18 can make a tandem skydive we will need the following information: Both biological/legal guardian parents must be present and sign the parental consent tandem waiver. If both parents are not available one parent must be present with a notarized statement of permission from the absent parent. YOU NEED TO DOWNLOAD THE PARENTAL CONSENT DOCUMENTS SO THAT THE ABSENT PARENT CAN SIGN THE WAIVERS AND HAVE THEM NOTARIZED. If the absent parent is not available for a statement, legal documents must be presented for the reason why i.e.; full legal and physical custody court documents/death certificate). The tandem student will also need both a birth certificate and a picture id. School ids are accepted as long as they are picture ids. The parents will also need to bring picture id for relationship identification. Weight limit for tandem students is 200lbs anybody over 200lbs will be a charge of $2.00 a pound up to 250lbs and NO ONE under the age of 16 will be allowed to skydive. We look forward to having the younger generation come to Skydive Canyonlands and take part in a thrilling and exciting sport. Skydive Canyonlands takes every precaution to protect the students and we will make skydiving a most enjoyable and safe adventure.
Go Skydive Moab, LLC AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK. THE SPORT OF SKYDIVING COULD CAUSE SERIOUS INJURY OR EVEN DEATH. IN CONSIDERATION of being permitted to use the facilities and equipment of Go Skydive Moab,LLC to engage in ground instruction, flying, parachute jumping, and related activities, hereinafter collectively referred to as parachuting activities. _ initials at each paragraph to indicate that I understand, HEREBY AGREE AS FOLLOWS: 1. PARTIES INCLUDED. I understand that this Agreement Release of Liability and Assumption of Risk includes Go Skydive Moab,LLC, its agent, employees, instructors, jump masters, pilots, the owners of the aircraft, mechanics and land utilized for parachuting activities, the U.S. Parachute Association and its members, Canyonlands Field Airport, City of Moab, Grand County and its employees or agents, Department of Airports, County of Grand and its employees or agents, the Relative Workshop, Inc., Strong Enterprises, Jumpshack, Stunt Adventures, and any manufacturers of equipment used, anyone working with Go Skydive Moab,LLC, and anyone involved in my parachuting activities, hereinafter collectively referred to in this Agreement, Release of Liability, and Assumption of Risk of Go Skydive Moab,LLC 2. RISKS CONTEMPLATED. This Agreement is made in contemplation of all parachuting activities, included but not limited to parachute jumping, ground instruction, flying and related activities, the exist, free fall, time under canopy, the landing, and rescue operations or attempts by Go Skydive Moab,LLC whether on, above, or off any facilities used by Go Skydive Moab,LLC. ) *Initial ) Parent Initial 3. RELEASE FROM LIABILITY. I hereby release Go Skydive Moab,LLC from any and all liability, claims, demands, or action that I may have for injuries arising out of my participation in parachuting activities even if caused by negligence or other fault of Go Skydive Moab,LLC. 4. COVENANT NOT TO SUE. I further agree that I WILL NOT SUE OR MAKE CLAIM against Go Skydive Moab,LLC. for damages or other losses sustained as a result of my participation in parachuting activities or air plane rides even if caused by negligence or other fault of Go Skydive Moab. 5. ) *Initial ) Parent Initial **I HAVE READ EACH PARAGRAPH CAREFULLY, MY INITIALS INDICATES I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT OF MY OWN FREE WILL. ) *Initial ) Parent Initial
5. INDEMNIFICATION AND HOLD HARMLESS. I also agree to INDEMNITY AND HOLD Go Skydive Moab,LLC. HARMLESS from all claims, judgments and costs, including but not limited to attorney s fees, and to reimburse them for any expenses whatsoever incurred in connection with any action brought as a result of my participation in parachuting activities. 6. ASSUMPTION OF RISK. I understand that parachuting activities. are inherently dangerous and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR PERSONAL INJURY SUSTAINED WHILE PARTICIPATING IN PARACHUTING ACTIVITIES WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER FAULT OF Go Skydive Moab,LLC including but not limited to equipment malfunction from whatever cause, inadequate training, any deficiencies in the landing area, rescue attempt, bad landings, or any other injury I may sustain even if caused by negligence or any fault of Go Skydive Moab,LLC.. 7. ) *Initial ) Parent Initial 7. PARTIES BOUND BY THIS AGREEMENT. It is my understanding and intention that this Release and Agreement be binding not only on myself, but on anyone or any entity, including my estate and my heirs, that or who may be able to or does sue because of my injury or death. It is further my understanding and agreement that this Release is intended to an does release Go Skydive Moab,LLC. from any and all claims or obligations whatsoever arising in any way from my participation in parachuting activities or air plane rides even if caused by negligence or other fault of Go Skydive Moab,LLC. 8. LIMITATION OF WARRANTY. Go Skydive Moab,LLC. hereby warrants that the equipment provided by Go Skydive Moab,LLC. has been previously used for parachuting activities or air plane rides. ) *Initial ) Parent Initial This warranty is the only warranty made and is made in lieu of any other warranties, express or implied, including but not limited to warrant of merchant ability or fitness, for a particular purpose. I have read the above paragraph acknowledge that I understand it and accept the limitation of warranty. ) *Initial ) Parent Initial 9. DURATION OF RELEASE. It is my understanding and intention that this Release and Agreement be effective not only for my first jump or air plane rides but for any subsequent jumps or air plane rides or activities in any way associated with Go Skydive Moab,LLC. 10. ENFORCEABILITY. I agree that if any portions of this Release and Agreement are found to be unenforceable or against public policy, that only that portion shall fail, but I specifically waive any unenforceability or any policy argument that I may make or that may be made on behalf of my estate or by anyone who would sue because of my injury or death. **I HAVE READ EACH PARAGRAPH CAREFULLY, MY INITIALS INDICATES I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT OF MY OWN FREE WILL.
11. LEGAL RIGHTS. It has been explained to me, and I understand, that by signing this document I give up important legal rights. It is my intention to do so. 12. UNDERSTANDING/BINDING OF AGREEMENT. I hereby certify that I have read and understand the contents of this document and accept all terms and conditions contained therein. 13. GO Skydive Moab,LLC. reserves the rights to use any video and/or still pictures that you may appear in for use in advertisement and/or promotional material. 14. Representations and Warranties as to Medical Condition: I represent and warrant that a) I have no physical infirmity, except those listed below, am not under treatment for any other physical infirmity or chronic ailment or injury of any nature, and have never been treated for any other of the following: cardiac or pulmonary conditions or diseases, diabetes, fainting spells or convulsions, nervous disorder, kidney or related diseases, high or low blood pressure; b) I am not under any medication of any kind at the present time and c) I do/do not strike one) wear corrective lenses. If I am prescribed corrective lenses, I agree to wear them during my intentional parachute jump. list infirmities, if not, state none ) DATE PRINT YOUR NAME WITNESS SIGNATURE YOUR SIGNATURE * I HAVE READ EACH PARAGRAPH CAREFULLY MY INITIALS INDICATES I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT OF MY OWN FREE WILL. ) * Initial WE PARENTAL CONSENT & PARENTS OF Print Name HAVE READ EACH PARAGRAPH CAREFULLY AND UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND GIVE OUR CONSENT TO OUR SON OR DAUGHTER TO MAKE A TAMDEM SKYDIVE AND SIGN THIS CONSENT FORM OF OUR OWN FREE WILL. Parents Signature & * I HAVE READ EACH PARAGRAPH CAREFULLY MY INITIALS INDICATES I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT OF MY OWN FREE WILL. )*Initial
GRAND COUNTY Lessee shall distribute to each individual who utilized the leased premises, a copy of the Government Code 831.7, which set forth in pertinent part the following with respect to the non liability of Lesser for hazardous recreational activities: *A) Neither a public entity nor a public employee is liable to any person who participates in a hazardous recreational activity, including any person who assist the participant, or to a spectator who knew or reasonably should have known that the hazardous recreational activity created a substantial risk of injury to himself or herself and was a voluntarily in the place of risk, or having the ability to do so failed to leave, for any damage or injury to property or persons arising out of that hazardous recreational activity. *B) As used in this section, hazardous recreational activity means a recreational activity conducted on property of a public entity which creates a substantial as distinguished from minor, trivial, or insignificant) risk of injury to a spectator. Hazardous recreational activity also means: *1) Water contact activities, except diving, in places where or at a time when a lifeguards are not provided and reasonable warning thereof has been given or the injured party should reasonably have known that there was no lifeguard provided at the time. *2) Any form of diving into the water from other than a diving board or diving platform or at a place or from any structure where diving is prohibited and reasonable warning thereof has been given. *3) Animal riding, including equestrian competition, archery, bicycle racing or jumping, boating, cross-country and downhill skiing, hang gliding, kayaking, motorized vehicle racing, off road motorcycling or four-wheel driving of any kind, orienteering, pistol and rifle shooting, rope climbing, rocketeering, rodeo, spelunking, skydiving, sport parachuting, body contact sport i.e. sports in which it is reasonably foreseeable that there will be rough bodily contact with one or more participants), surfing, trampoline, tree climbing, tree rope swinging, water skiing, white water rafting, and wind surfing. *C) Notwithstanding the provisions of subdivision a), this section does not limit liability which would otherwise exist for any of the following : *1) Failure of the public entity or employee to guard or warn of a known dangerous condition or of another hazardous recreational activity known to the public entity or employee that is not reasonably assumed by the participant as inherently a part of the hazardous recreational activity out of which the damage or injury arose. *2) Damage of injury suffered in any case where permission to participate in the hazardous recreational activity was grated for a specific fee. For the purpose of the paragraph, specific fee does not include a fee or consideration charged for a general purpose such as general park admission charge, a vehicle entry or parking fee, or an administrative or group use application or permit fee, as distinguished from a specific fee charged for participation in the specific hazardous recreational activity in the hazardous recreational activity out of which the damage or injury arose. *3) Injury suffered to the extent proximately caused by the negligent failure of the public entity or public employee to properly construct or maintain in good repair any structure, recreational equipment or machinery, or substantial work of improvement utilized in the hazardous recreational activity out of which the damage or injury arose. *4) Damage or injury suffered in any case where the public entity or employee recklessly or with gross negligence promoted the participated in or observance literature or a public announcement or advertisement which merely describes the available facilities and service on the property does not in itself constitute a reckless or grossly negligent promotion. *5) An act of gross negligence by a public employee which is the proximate cause of the injury. Nothing in this subdivision creates a duty of care or basis of liability for personal injury for damage to personal property) *D) Nothing in this section shall limit the liability of an independent concessionaire, or any person or organization other than the public entity to use the public property, for injuries or damages suffered in any case as a result of the operation of a hazardous recreational activity on public property by the concessionaire, person or organization. Dated: Signature Parent Signature Parent Signature Witness
Go Skydive Moab,LLC The Uninsured Relative Workshop, Inc. d/b/a Relative Workshop, Strong Enterprises, Inc. & Eclipse Tandem system Stunts Tandem Parachute System Jumper Agreement *Please read each paragraph carefully. Your initial indicates you understand and agree to all of the Information and terms contained therein. This is an important legal document. Allow yourself sufficient time to carefully read and understand the entire document because by signing it you are agreeing to give up certain legal rights. ) *Initial ) Parent Initial In consideration of the Uninsured Relative Workshop Inc., doing business as Relative Workshop, and Strong Enterprises, Inc., Eclipse Tandem system stunts hereinafter referred to as Corporations, allowing me the privilege of utilizing a dual-harness, dual container parachute pack assembly designed, manufactured and/or assembled by the Corporations for the purpose of performing an intentional parachute jump, I agree that: 1) Representations, Warranties & Assumptions of Risk: I understand that parachute jumping will expose me to the risk of personal injury, property damage and/or death. I understand that the success of my jump is dependent upon the perfect functioning of the airplane from which I intend to jump and the parachute system, and that neither the airplane nor the parachute system can be guaranteed to function perfectly. I understand that the airplane and the parachute system are both subject to mechanical malfunction as well as operator error. I freely, voluntarily and expressly choose to assume all risks inherent in parachute jumping, including, but not limited to, risks of equipment malfunction and/or failure to function, including those which may result from some defect in design, assembly, and/or manufacture, as well as those risks arising from improper and/or negligent operation and/or use of the equipment, for the thrill of participating in this activity, understanding full well those risks may include personal injury, property damage, and/or death. ) *Initial )Parent Initial 2) Exemption and Release from Liability: I exempt and release the following persons and organizations: ) * Initial )Parent Initial A) The Corporations and their officers, directors, agents, servants, employees, and other representative ) *Initial ) Parent Initial B) Manufacturers, designers, and suppliers of component equipment incorporated in the dual-harness, dual-container parachute pack assembly to which I will be attached during my intentional parachute jump; ) * Initial )Parent Initial C) Owners, suppliers and operators of aircraft from which I am to make my intentional parachute jump ) * Initial ) Parent Initial D) The owner of the dual-harness, dual-container parachute pack assembly, and any of its components, to which I will be attached during my intentional parachute jump; ) * Initial ) Parent Initial E) The operator of the dual-harness, dual container, parachute pack assembly to which I will be attached during my intentional parachute jump; ) * Initial ) Parent Initial F) If I am making my intentional parachute jump at or near a parachuting/skydiving facility, the owners and operators of that facility, as well as their Officer, directors, agents, servants, employees, shareholders, and other representatives; )* Initial ) Parent Initial G) The owners and lessees, if any, of land upon and from which the parachute jumping and related aircraft operations are conducted; and ) * Initial ) Parent Initial H) Any other person and/or organization which is or may be liable for any loss or injury to me or my property, or my death, arising out of my participation in any of the activities covered by this Agreement as defined below); ) * Initial ) Parent Initial From any and all liability, claims, demands or actions or causes of action whatsoever arising out of any damage, loss or injury to me or my property, or my death, whether occurring while I am training and/or preparing for my intentional parachute jump, while I am present in aircraft from which the jump is to be made, while I am making my intentional parachute jump, or while I am engaged in related activities hereinafter referred to a s activities covered by this Agreement ), whether such loss, damage, injury, or death results from the negligence and/or other fault, either active or passive, of any of the persons and/or organizations described in paragraphs 2A) H) above, or from any other cause ) * Initial ) Parent Initial 3) Covenant Not to Sue: I agree never to institute any suit or action at law or otherwise against any of the organizations and/or persons described in paragraph 2A) through H) above, or to initiate or assist in the prosecution of any claim for damages or cause of action which I may have by reason of injury to my person or property,or my death, arising from the activities covered by this Agreement, whether caused by the negligence and/or fault, either active or passive, of any of the organizations and/or persons described in paragraph 2A) through H) above, or from any other cause. I further expressly agree that I will never raise any claim against any of the organizations and/or persons described in paragraph 2A) through H) above for product liability, failure to warn, negligence, breach of warranty, breach of contract, or strict liability, regardless of whether my claims for damages or injuries are alleged to result from the fault or negligence of the parties released. I further agree that my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf, shall not institute any suit of action at law or otherwise against any of the organizations and/or persons described in paragraph 2 A) through H) above, nor shall they initiate or assist the prosecution of any claim for damages of cause of action which I, my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf may have by reason of injury to my person or property, or my death arises from the activities covered by this Agreement, whether caused by the negligence and/or fault, either active or passive, of any of the organizations and/or persons described in paragraph 2A) through H) above, or from any other cause, I hereby so instruct my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. Should any suit or action at law or otherwise be instituted in violation of this Agreement against any of the organizations and/or persons described in paragraph 2A) through H) above, I agree that such organizations and/or persons shall be entitled to recover, in addition to any other damages which may be incurred, reasonable attorneys fees and costs incurred in defense of such suit or action, including any appeals there from. ) * Initial ) Parent Initial I HAVE READ THE ABOVE PARAGRAPHS CAREFULLY. MY INITIALS INDICATE I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT AT MY OWN FREE WILL. ) * Initial ) Parent Initial
* Please read each paragraph carefully. Your initial indicates you understand and agree to all of the information and terms contained therein. 4) Indemnity Against Claims: I will indemnify, save and hold harmless the organizations and/or persons described in paragraph 2A) through H) above from any and all losses, claims, actions or proceedings of every kind and character, including attorney s fees and expenses, which may be presented or initiated by any persons and/or organizations and which arise directly or indirectly from my participation in the activities covered by the Agreement, whether resulting from the negligence and/or other fault, either active or passive, or any of the organizations and/or persons described in paragraph 2A) through H) above, or from any other cause. ) * Initial ) Parent Initial 5) Validity of Waiver: I understand that if I institute or anyone on my behalf institutes, any suit or action at law or any claim for damages or cause of action against any of the organizations and/or persons described in paragraph 2A) through H) above because of injury to my person or property, or my death, due to the activities covered by this Agreement, this Agreement can and will be used in court, and that such agreements have been upheld in courts in similar circumstances. ) * Initial ) Parent Initial 6) Representations and Warranties as to Medical Condition: I represent and warrant that a) I have no physical infirmity, except those listed below, am not under treatment for any other physical infirmity or chronic ailment or injury of any nature, and have never been treated for any other of the following: cardiac or pulmonary conditions or disease, diabetes, fainting spells or convulsions, nervous disorder, kidney or related diseases, high or low blood pressure; b) I am not under any medication of any kind at the present time; c) If I am prescribed corrective lenses, I agree to wear them during my intentional parachute jump List infirmities, if none, state none : ) * Initial ) Parent Initial 7) Waiver of Jury Trial/Applicable Law/Venue/Headings: I agree that the law of the State of Florida shall apply to issues involving the construction, interpretation, and validity of the Agreement, and that Florida law shall govern any dispute between the parties arising from the activities covered by this Agreement. In the event this Agreement is violated and suit is brought against any of the organizations and/or persons described in paragraph 2A) through H) above, I waive my rights to a jury trial, and agree that Volusia County, Florida shall be the sole venue for any suit or action arising from the activities covered by this Agreement. I agree that the headings and sub-headings used throughout this Agreement are for convenience only and have no significance in the interpretation of the body of this agreement. ) * Initial ) Parent Initial 8) Severability/Multiple Waivers: I agree that should one or more provisions in this Agreement be judicially determined to be unenforceable, the remaining provisions shall continue to be binding and enforceable against me. If I have executed any other agreement containing provisions relating to the exemption and/or release from liability and/or covenant not to sue in connection with the activities covered by this Agreement, I agree that the agreement which provides the most protection from liability and/or suit to the Uninsured Relative Workshop Inc., d/b/a Relative Workshop and to Strong Enterprises, Inc.& Eclipse Tandem system, stunts shall be enforceable against me by the Uninsured Relative Workshop, Inc. d/b/a Relative Workshop and Strong Enterprises, Inc. Eclipse Tandem System Stunts. ) * Initial ) Parent Initial 9) Continuation of Obligations: I agree and acknowledge that the terms and conditions of this Agreement shall continue in force and effect now and in the future at all times during which I participate in the activities covered by this Agreement, and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. This Agreement supersedes and replaces any prior such agreement I have signed. ) * Initial ) Parent Initial 10) Viewing of Video: I have viewed and I warrant that I fully understand the accompanying Tandem Waiver video. ) * Initial ) Parent Initial I HAVE READ THE ABOVE PARAGRAPHS CAREFULLY. MY INITIALS INDICATE I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT AT MY OWN FREE WILL. ) * Initial TANDEM JUMPER: Signature Print Name Witness I freely and voluntarily agree to all of the above by signing this contract on the day of at Go Skydive Moab,LLC. PARENTAL CONSENT WE & PARENTS OF Print Full Name) HAVE READ THE ABOVE PARAGRAPHS CAREFULLY AND Print Name) UNDERSTAND & ACCEPT THE INFORMATION, TERMS AND CONDITIONS CONTAINED THEREIN, AND GIVE OUR CONSENT TO OUR SON OR DAUGHTER TO MAKE A TAMDEM SKYDIVE AND SIGN THIS CONSENT FORM OF OUR OWN FREE WILL. & Parents Signature) I HAVE READ THE ABOVE PARAGRAPHS CAREFULLY. MY INITIALS INDICATE I UNDERSTAND & ACCEPT THE INFORMATION & TERMS CONTAINED THEREIN AND SIGN IT AT MY OWN FREE WILL. ) Parent Initial