Vermont Hang Gliding & Paragliding Association Membership and Visitor's Pass Application/Waiver.

*A photocopy of this form may be filed with the appropriate flying site owners, land owners or managers.

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Affirmation of United States Hang Gliding and Paragliding Association Release

Waiver and Assumption of Risk Agreement And Acknowledgement of Applicability to USHPA Chapter

Under FAA Regulation "Part 103 is based on the assumption that any individual who elects to fly an ultralight vehicle has assessed the dangers involved and assumes personal responsibility for his/her safety". FAA AC-103-7
In consideration of being allowed to use the facilities and participate in the sport of "Ultralight Vehicles" and other activities (collectively the “Activities”) provided by the Vermont Hang Gliding and Paragliding Association (the "USHPA Chapter"), I hereby reaffirm the United States Hang Gliding And Paragliding Association (“USHPA”) Release, Waiver and Assumption of Risk Agreement (the “USHPA Release”) previously signed by me and acknowledge that it is applicable to my participation in any and all Activities of the USHPA Chapter. Each of the terms, including the definitions, of the USHPA Release are hereby incorporated by reference as though fully set forth in this affirmation. I specifically acknowledge that the following persons, including their owners, officers, directors, managers, agents, spouses, employees, officials (elected or otherwise), members, independent contractors, sub-contractors, lessors and lessees, are also RELEASED PARTIES as that term is used in the USHPA Release: The Vermont Hang Gliding and Paragliding Association, and each of its members, employees, agents, volunteers, officers, directors, and managers;
  • Pacific Group Resorts, Inc.
  • Burke Mtn. Academy, Inc.
  • State of Vermont, Dept of Parks
  • Ascutney Mountain Resort
  • Ascutney Outdoors
  • Burke Mountain Operating Company
  • Altera Mountain Company
  • Vermont Dept. of Forest, Parks, and Recreation
  • Town of West Windsor Vermont
  • Mt. Ascutney Outdoors Inc.
  • State of New Hampshire Department of Natural and Cultural Resources - Division of Parks and Recreation
  • White Mtn. National Forest
  • Francis Gradbowski
  • Mr Jakob Schwaiger
  • Rosemarie Herbert
This specification of certain RELEASED PARTIES is not meant to be an all-inclusive list or to limit in any way the scope of persons included within the definition of RELEASED PARTIES in the USHPA Release. Rather, it is made to give assurance to those listed here that they are included within the scope of the definition of RELEASED PARTIES in the USHPA Release. "Ultralight Vehicles" includes powered and unpowered hang gliders and paragliders. Mini-wings and speed-wings are types of paragliders. This affirmation in no way limits, restricts or narrows the terms or scope of the USHPA Release previously signed by me.

Required if the participant is under the age of 18

Waiver for Hang Gliding / Paragliding on Designated State Lands

Initial Sites That Apply
certify that I am an adult, 18 years or older. The information I placed on this form is true and correct. I will comply with all the regulations governing hang gliding and paragliding on designated state lands. I hereby freely and voluntarily waive all claims I now have or that may arise in the future against the State of Vermont, its employees and agents. I will hold and save the State of Vermont, its employees, and its agents free of any liability in the event of personal or bodily injury, death, or property damage occasioned by, or arising out of my involvement in hang gliding or paragliding on the state lands designated for that purpose.
Agreement and Release of Liabilities for Site Known as West Rutland, or Hanley Mountain
hereby acknowledge that I have applied voluntarily in the sport of hang gliding or paragliding at the site known as West Rutland or Hanley Mountain. I am aware of all hazards and dangers, real or hidden, including all road and ramp hazards, involved in foot launched soaring flight and accept any and all the risk of possible injury or death. As lawful consideration for being permitted to use this site, I agree that I, my heirs, distributes, guardians, assigns and legal representatives will not make any claims against, sue, attach the property of, or prosecute any landowners or other flyers at this site. The principal, but not only, landowners are the Vermont Hang Gliding Association, Mr. and Mrs. Francis Grabowski, Angier Family Trust and Adrianne Tedesco, Mrs. Rosemarie Herbert. The United States Hang Gliding and Paragliding Association are also is included under this waiver. I now hereby release and hold harmless all parties from any actions resulting from any accidents, which may cause injury or death. I fly my hang glider or paraglider assuming all inherent risks and dangers. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract to use this site as a member of the Vermont Hang Gliding Association and USHPA. I sign this and fly of my own free will. (H3 / P3) or H2 / P2 with Observer / Site guide.
* Payment Terms: Your VHPA Membership, Renewal, or Visitor's Pass will not be official until you have submitted this form and your full payment has been received by the VHPA. Your payment can be made online or sent by mail. See our Membership page for more info.  Initialing below confirms you have read and understand this term.