COPA's Discover Aviation Program Waiver Form

Discover Aviation Waiver Form
Participant Registration

The COPA Discover Aviation program is proudly sponsored by The Magnes Group
Name *
Age *
Date of Birth *

Month Day Year
Gender
Email *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian or Emergency Contact Details
Contact Person Name *
Primary Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Acknowledgment, Authorization and Waiver

Note: If an accident were to occur, you and/or the minor child or youth in this Program (by signing this Agreement) would be giving up legal rights and incurring legal liabilities. If you do not understand anything in this Agreement, you should not sign it and you should talk to your legal advisor.
Please acknowledge the following: *

Release of liability, waiver of claims, assumption of risks and indemnity agreement. By signing this document I will waive certain legal rights, including the right to sue or claim compensation. I grant COPA, the right to take photographs of you and your family in connection with the above-identified event. I am authorizing COPA, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that COPA may use such photographs of me or members of my family for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. I acknowledge that all information I provided in this form is true and accurate.
Participant/Parent/Guardian Signature *

Clear
Date Signed

Month Day Year
Should be Empty:

Discover Aviation Waiver Form

Participant Registration

Parent/Guardian or Emergency Contact Details

Acknowledgment, Authorization and Waiver