Discover Aviation Waiver Form
Participant Registration
The COPA Discover Aviation program is proudly sponsored by our insurance partner, Covalen.
Name
*
Age
*
Date of Birth
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Gender
Please Select
Male
Female
Non-binary
Prefer not to disclose
Email
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which airport is this Discover Aviation event being held at?
Please confirm the COPA Flight hosting the Discover Aviation event (e.g., COPA Flight 70 Oshawa)
Please confirm the date of your Discover Aviation event flight:
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please confirm below you will present confirmation of completing this form to your Discover Aviation event organizer.
Yes, I agree and understand I need to print a copy of the confirmation e-mail and show it to the registration desk at the COPA Discover Aviation event.
No, I will not print the confirmation e-mail and understand I may be denied my Discover Aviation introductory flight.
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:
*
I acknowledge that I must forward the confirmation email received from Jotform directly to the COPA Flight or COPA member organizing a discovery flight prior to the event date (preferably at least 7-10 business days ahead).
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 me and my family in connection with the above-identified event. I acknowledge that these images may be used by COPA for any lawful promotional purpose related to general aviation.
I grant COPA permission to contact me regarding aviation-related activities. I may unsubscribe to these communiations at any time.
I acknowledge that all information I provided in this form is true and accurate.
Participant/Parent/Guardian Signature
*
Date Signed
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Submit
Should be Empty: