RAINIER FLIGHT SERVICE

LIABILITY RELEASE FORM

RainierFlightService.com

Personal Information

First/Last Name: ____________________________________________________________________

Preferred Name: _______________________________ DOB:

(mm/dd/yyyy) _______/_______/_______

Gender: Male Female Height: _________________ Weight (lbs): _________________

Cell Phone: ( ) _________ - ___________ Work Phone: ( ) _________ - ___________

Email Address :_____________________________________________________________________

What is your goal while flying at Rainier?

Discovery Flight Train for Fun Train for Career Aircraft Rental

Other

(Please Specify)

________________________________________________________________________________________________________

How did you hear about us?

_____________________________________________________________________________________

Emergency Contact Information

First/Last Name: ____________________________________________________________________

Relationship (Spouse, Parent, etc.) __________________________________________________

Phone: ( ) _________ - ___________

Email Address: _____________________________________________________________________

Liability Release Waiver

In consideration for allowing me to participate in a Discovery Flight, flight training or

other flying activities (all or any one of these, the “activities”), I hereby represent and

agree as follows:

I understand the inherent risks and dangers associated with flying and the possibility

of serious physical or mental trauma or injury, disability or death, as well as property

damage, and knowingly, freely and voluntarily agree to assume any dangers or risks

associated with such activities and the social and economic losses that can result from

participation in these activities.

I, for myself and my heirs, assigns, personal representatives and next of kin, hereby

agree to release, waive and discharge Rainier Flight Service LLC, including its owners,

officers, agents, employees, contractors and volunteers (collectively, “RFS”) from any

RAINIER FLIGHT SERVICE

LIABILITY RELEASE FORM

RainierFlightService.com

and all claims, damages, injuries, losses or other liabilities that may be sustained by

me, my heirs, executors, administrators, legal representatives, successors and assigns

directly or indirectly in connection with, or arising out of, my participation in the

activities, whether caused in whole or in part by the negligence of RFS, to the fullest

extent permitted by law. I further agree to indemnify and hold harmless RFS from any

and all claims, damages, injuries, losses or other liabilities it may incur arising from my

participation in the activities (including those arising from any legal challenge to this

agreement), even if arising in whole or in part from the negligence of RFS.

I have read this General Liability Release and Waiver, fully understand its terms,

understand that I have given up substantial rights by signing it and sign it freely and

voluntarily and intend it to be a complete and unconditional release of any and all

liability of RFS to the fullest extent permitted by law. I further agree that if any part of

this agreement is held to be invalid, the rest notwithstanding shall continue in full

legal force and effect.

Printed Name: _____________________________________________________________________

Signature: _________________________________________ Date: _______/_______/__________

Parental Consent (If Applicable)

In consideration for allowing my child/ward under the age of 18 to participate in a

Discovery Flight, flight training or other flying activities (all or any one of these, the

“activities”), I the undersigned, on behalf of myself and my child/ward, hereby

represent and agree as follows:

I understand the inherent risks and dangers associated with flying and the possibility

of serious physical or mental trauma or injury, disability or death, as well as property

damage, and knowingly, freely and voluntarily agree to assume any dangers or risks

to my child/ward associated with such activities and the social and economic losses

that can result from participation in these activities.

I attest that my child/ward is physically fit to participate in the activities, that I desire

for him/her to participate, and hereby consent to such participation. I, for myself and

my child/ward, as well as for my/our heirs, assigns, personal representatives and next

of kin, hereby agree to release, waive and discharge Rainier Flight Service LLC,

including its owners, officers, agents, employees, contractors and volunteers

(collectively, “RFS”) from any and all claims, damages, injuries, losses or other liabilities

that may be sustained by my child/ward, my/our heirs, executors, administrators, legal

representatives, successors and assigns directly or indirectly in connection with, or

RAINIER FLIGHT SERVICE

LIABILITY RELEASE FORM

RainierFlightService.com

arising out of, my child/ward’s participation in the activities, whether caused in whole

or in part by the negligence of RFS, to the fullest extent permitted by law.

I, for myself and my child/ward, as well as for my/our heirs, assigns, personal

representatives and next of kin, do hereby agree to indemnify and hold harmless RFS

from any and all claims, damages, injuries, losses or other liabilities it may incur arising

from my child/ward’s participation in the activities (including those arising from any

legal challenge to this agreement), even if arising in whole or in part from the

negligence of RFS.

I, on behalf of myself and my child/ward, have read this General Liability Release and

Waiver / Parental Consent, fully understand its terms, understand that I have given up

substantial rights by signing it and sign it freely and voluntarily and intend it to be a

complete and unconditional release of any and all liability of RFS to the fullest extent

permitted by law. I further agree that if any part of this agreement is held to be invalid,

the rest notwithstanding shall continue in full legal force and effect.

Name of Minor: _________________________ Minor’s DOB:

(mm/dd/yyyy) _______/_______/_______

Parent/Guardian Address: ___________________________________________________________

_____________________________________________________________________________________

Parent/Guardian Name: ___________________________________________________________

Parent/Guardian Signature: ______________________________ Date: ______/______/______