| lsws
|
I _____________________ (print name)
agree to forever release and discharge the estate
of _______________ from any and all liabilities
and claims with respect to the use of their land for
the sport of powered paragliding.
Date __________/__________/__________ (YYYY/MM/DD)
Home Phone Number ______ ______ ____________
Signature __________________
fitzgr@yahoo.com
Copyright � 2001 Grant Fitz. All rights reserved. You may want to print this on the back of the form.