ACCELERATED Light Sport Training For POWERED

ACCELERATED
Light Sport Training
For
POWERED PARACHUTES and
WEIGHT SHIFT (TRIKE)
Overview & Application
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1/16/2012
Ultralight Pilot
FAA Student Pilot
Sport Pilot
Transition Pilot Add PPC Category
Private Pilot
Introduction
Welcome to the Western Sport Pilot Association
LLC Accelerated Training courses. These are
comprehensive courses designed for aspiring
pilots with no previous flight experience, or for
transitioning certified pilots. You will be paired
one-on-one with a professional FAA flight
instructor for the entire course. The courses are
completed at one of several great locations in
the Pacific Northwest. Lodging is available
nearby and dry RV camping is available at no
cost at two locations. These are fun courses
and you will build skills to help you fly safely for
a lifetime!
Student first solo in Six Chuter Single
Your course fee covers virtually everything required to earn your rating, including instructors,
aircraft rentals, testing fees, and study materials. At the completion of the course you will have
a student pilot, sport pilot license with privileges to operate a two-seat light sport powered
parachute or weight shift trike, or a private pilot certificate for either category. And we will
connect you with the EAA UL Chapter 127 to introduce you to scores of other pilots and their
families in the Pacific Northwest.
While there is no guarantee that you will have the skills to successfully complete the course
and pass the tests our success rate to date is 100%! Our staff will spend as much time as
required during the course schedule to help you be successful and achieve your goal of
becoming a Light Sport Pilot. Profiles of our staff are included in your notebook. And your
assigned instructor will contact you before you begin to insure that you are properly prepared.
These materials have been organized and provided to you in advance of the course to help
you prepare. One unique aspect of our course is the ability to participate in an on line ground
school before you begin your training. Because the entire course is accelerated, the more
preparation you do before you arrive, the higher your chance of success and enjoyment of the
course.
We are providing you with detailed step-by-step instructions on how to complete the necessary
paperwork and prepare for your first day of class. If you have any initial questions about the
course or the materials you have received, contact:
Registration and Information
Doug Maas, CFI/SPE/SPIE
Telephone: 360 771-4047
For More Information on Sport Pilot Training
www.westernppa.org
or email westernppa@comcast.net
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Overview of the Courses
Earning your student, sport pilot or private
pilot certificate in a powered parachute or
Dual Training in Six Chuter XTssdc
weight shift "trike" is perhaps the most
economical and certainly safest way to earn a
pilot’s license. Your pilot certificate will
provide you the privilege of operating a twoseat light sport aircraft, carrying a maximum of
one other passenger, during daylight hours in
VFR (visual flight rules) weather. Once you
have earned your Sport Pilot license you can
train and add privileges to operate other
category and classes of light sport aircraft
such as airplane or gyroplane. And should
you be interested in earning a higher-level
certificate, such as your private pilot certificate, the training you complete during this course
can all be credited towards that license.
The accelerated course consists of ground lessons, flight lessons, and the actual FAA required
written knowledge test and practical test (oral and flight). We manage these accelerated
courses with daily early morning group briefings and debriefings at the end of each day. We
hold evening “homework” to a minimum in order to keep you and our instructors refreshed for
each subsequent day’s training. The full Sport Pilot course has been organized in a 12-14 day
calendar. The solo course is typically four days. Due to the uncertainties of weather and to
allow for different learning paces this calendar is viewed as totally flexible. Essentially when
the weather allows we accelerate your in-flight time and when it doesn’t we accelerate your
ground lesson time. Your assigned instructor is with you for the entire nearly two weeks
allotted to accomplish the goal. The contract for the course also details our support to
complete your training should unforeseen circumstances prevent completion during the
scheduled time.
The course curriculum on the next page summarizes the requirements for completion. This will
include 10 hours of dual flight time with your instructor. All dual flights are in FAA Certified
Light Sport Trainers equipped with dual controls. You will also fly a total of five hours of solo
time during the course. Your solo time may be in a two-seat trainer or in one of our FAA
certified single seat trainers. The course includes four “stage checks” that provide for written
tests and extra time with your instructor to insure you are making comfortable progress and
preparing you for the next stage. The stage checks also provide you with one-on-one tutoring
to prepare you to pass your written knowledge test and the practical test. Furthermore, FAA
Sport Pilot Examiners are members of our staff and will actively participate in your training.
This will help you to build a positive relationship with the examiners and thus reduce the stress
of testing. Again we encourage you to take the course preparation seriously because the more
knowledge you can obtain before the course begins, the more you enjoy the experience.
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SPORT PILOT TRAINING CIRRICULUM
Sport Pilot Training Courses are available in:
Note: This is a sample of the standard curriculum for powered parachute land category. The training curriculum
for weight shift and airplane is similar but the minimum dual and solo flight training hours are different.
*This curriculum outlines the entire sport pilot program for Powered Parachute Category.
These course hours are for student/instructor guidance only and are presented as the minimum requirement for sport pilot training
requirements. Actual time is typically higher.
MODULE
FLIGHT LESSON
DUAL
1
2
3
4
5
Module 1: First Flights
Learn to Fly
Introductory
Ground Taxi
Canopy Kiting
Take off and Landings
First Solo
1
1
1
1
.5
6
7
8
9
10
11
12
13
Precision Solo
Precision Solo
Module 2: Flight Maneuvers and
Knowledge to Sport Pilot
Maneuvers
Takeoff and Landings, Airports, Gross
Weight Operations
Cross Country & Solo Endorse
XC Diversion & Solo XC
Module 3: Tutor for Sport Pilot Practical
Test
Mock Ground Test for Practical
Mock Flight Test
TOTALS
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SOLO
.5
.5
.5
1
1.5
1.5
1
1
1
GROUND LESSON
TIME
Program Overview
Aerodynamics
Operation of Systems
Weather/ADM
Stage 1
Pre solo Written Test
Aeromedical, ADM
Limits, Regulations
.5
1
1
1
.5
Performance & Emergencies
Airspace/Airport Operations
1
.5
Cross Country Planning
Enroute weather
1
1
.5
Stage 3
FAA Written Test
Mock Ground Test
Mock Flight Briefing
1
10
4
4
1
1
1.5
.5
12
Where Are We Located?
Our primary training facilities
include Arlington, Chelan,
Quincy, Spokane and
Vancouver Washington. We
have affiliates and training
locations in California, Utah,
Arizona, Idaho and Montana.
The Seattle Flight Training
Center where we conduct our
accelerated training courses is
located at the Arlington Airport,
Arlington, Washington. The
airport is located at the foot of
the Pacific Cascade Mountains
and situated just east of the
shores of Puget Sound.
Arlington Airport, Seattle Powerchutes Flight Center
Arlington is conveniently
located about ½ Hour north of Seattle Washington. The airport has a dedicated ultralight area
that provides wide open areas in which to safely train. The surrounding area provides
incredible territory to fly over and you will certainly enjoy your cross-country training with flights
to Puget Sound and back.
The Seattle Powerchutes Flight Center is situated directly in front of the ultralight field. This
makes managing our training even more convenient for everyone. There is no need to haul
equipment anywhere. We just open the
hangar doors each morning and begin
your training experience.
If you want to camp out at the airport,
please let us know ahead of time so we
can reserve you a space. Check out
the following pages of information and
explore the active links for lodging and
other information about the airport and
surrounding areas.
Rick Gutierrez, President Seattle Powerchutes LLC
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The Central Washington
Powered Parachutes LLC
manages the training facility at
Twin Firs Turf Farm in Quincy,
Washington. This farm is the
location of the annual Memorial
Day Powered Parachute Rally
and offers flying from groomed
turf circles. Quincy is
conveniently located for Central
and Eastern Washington
students.
The facility is just thirty minutes
east of Wenatchee,
Washington. Dry RV camping
is available on the site, during
the course of your instruction.
Twin Firs Turf Farm, Central Washington Flight Center
Western Sport Pilot Association
LLC also offers the accelerated
class out of two locations in the
Portland-Vancouver area. One
is Camas Grove Airport, located
about fifteen minutes east of
Vancouver. The second is
Lendhardt field located about
thirty minutes southeast of the
city of Portland, Oregon.
This location serves students in
the local area and on site
camping is not available at
either of these airfields.
Ultralight Students at Lendhardt Field, Hubbard Oregon
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Clyde Poser, CFI, DPE Instructing in Weight Shift
Weight Shift training is available
at any of these locations, but is
primarily conducted by Clyde
Poser from his home airfield in
Buckley, Washington or by Rob
Lyons out of the Chelan,
Washington Airport.
Our light sport airplane category
training is offered through Seattle
Powerchutes LLC in Arlington,
Washington or Bonneville Skybase
in Grantsville, Utah.
Chelan Airport, Lake Chelan, Washington
Much of our training is “mobile”. Our instructors are
present at events throughout the Pacific Northwest and
beyond. And they coordinate with our EAA UL Chapter
127 to insure that training is available at nearly all of our
events.
Mark Martin, CFI, PPCL, Airplane
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We can also arrange for you to camp on site
Course Preparation & Instructions
The following checklist should be used to guide you through preparing for the course.
STEP
1
INSTRUCTIONS
Register for the course: (A deposit is required to secure
your position in the course)
Registration and Information
Doug Maas maas0755@comcast.net
360 771-4047
For More Information on Sport Pilot Training
www.westernppa.org or email westernppa@comcast.net
COMMENT
Registration is complete when
your application has been filled out
and you have been notified that
you are accepted and scheduled
for a specific course number.
2
Receive and review your course materials to insure
you have everything
See “Materials and References”
list in Section I of the student
handbook
3
Contact your assigned instructor to confirm that you
have all the course materials. Your instructor will also
provide you with helpful hints for beginning your course of
study
Review and sign the course agreement and waiver and
mail to: (The final full payment for the course must be
received along with the agreement before the course
begins)
Western Powered Parachute Association LLC
nd
5700 NE 82 Ave #7
Vancouver, WA 98662
Make reservations for Lodging. You can do this
personally or by contacting the registrar. If you plan to
camp on site contact the registrar as soon as possible.
Your instructor information will be
included on the first page of the
student handbook
4
5
6
Arrive at the course on Time. The schedule for the
course leaves little time for makeup so being on time for all
the classes is important. Contact your assigned instructor
with any difficulties you encounter with travel to the course.
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These agreements and waivers
must be received at least 14 days
before the beginning of class. The
agreement insures that both
parties are clear on the conditions
included in the course.
Check out the facilities section of
your course notebook for
recommendations on local
lodging.
Materials and References
Your course fee covers all of the following materials and references. You will receive these ahead of the course
and use them as necessary to prepare for your training.
ITEM
Course Notebook
Sport Pilot Kit
Pilot Items
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CONTENT
Section I
� Introduction
� Overview
� Staff
� Facilities
� Preparation
� Materials and References
Section II
� Contract and Waivers
Section III
� Curriculum & Calendar
Section IV
� Records and Tests
Section V
� FAA Applications & Endorsements
� Student Pilot Certificate
� Log Book
� Plotter
� Sectional Chart
� FAR/AIM
� Sport Pilot Syllabus
� Written Test Guide
� Checkride Manual
� PPC Handbook
� Carrying Case
� Graduation Certificate
� Pilot Wings
� Souvenir Shirt
9
USE
Course Preparation
Course Guide
Course Records
Study Materials
Congratulations
ACCELERATED LIGHT SPORT COURSE APPLICATION
Category for Training Powered Parachute [ ] Weight Shift Trike [ ] Airplane [ ]
Course Level Ultralight Solo [ ] FAA Student Pilot [ ] Sport Pilot [ ] Private Pilot [
]
FULL NAME
ADDRESS (City,
State, Zip code)
TELEPHONE
EMAIL
HOME:
ALTERNATE:
FAX
This Information Is Required for FAA Pilot Application Purposes
DATE OF BIRTH
WEIGHT
SEX
CITY/STATE OF
BIRTH
M[ ]F[ ]
Do you hold an FAA Medical
Certificate
Do you hold an FAA Pilot’s
License
HEIGHT IN INCHES
Hair Color:
Eye Color:
Yes [ ] No [ ]
Cert. Number if Yes:
Yes [ ] No [ ]
Pilot License Number if Yes:
Driver’s License?
License Number:
State:
Date Issued:
Date Expires:
Yes [ ] No [ ]
Have you ever been convicted for violation of any Federal
Yes [ ]
Date of Final Conviction:
or State statues relating to narcotic drugs, marijuana or
No [ ]
depressant or stimulant drugs or substances?
Previous Flight Time Experience (None is Required for This Course)
I have no previous Flight Experience [ ]
I have previous Flight Experience, summarized below [ ]
Powered Parachutes
Weight Shift
Airplane
Other
Total Flight Time
Solo/Pilot In Command
Dual Flight Instruction
Cross Country
Have you failed a test for a previous flight
certificate?
Do you have any current medical condition or
other limitation that might affect your ability to
complete this training?
Yes [ ]
No [ ]
Explain:
Yes [ ]
No [ ]
Explain:
Applicant’s Certification-I certify that all statements and answers provided by me on this application form are complete and
true to the best of my knowledge and I agree that they are to be considered as part of the basis for participation in this
course of instruction:
Signature of Applicant
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Date
10
AGREEMENT
1. PARTIES TO AGREEMENT
1.1. Student _________________________________
1.2. Primary Instructor_________________________
1.3. Instructor Company________________________
1.4. Western Sport Pilot Association LLC
2. PURPOSE OF AGREEMENT
2.1. This agreement provides the understanding for provision of ultralight pilot training to
the student, by the primary instructor, that instructor’s company and the Western
Powered Parachute Association LLC
2.2. This agreement provides the requirements for payment for this course
3. THE AGREEMENT
3.1. The Western Sport Pilot Association LLC, the Primary Instructor and the Instructor
Company agree to provide the following:
3.1.1. Pilot Training Materials consisting of the following:
Materials
Log Book
Syllabus
PPC Handbook
Shirt, Wings, Certificate
Course Notebook
1
1
1
1
1
3.1.2. Flight and Ground Instruction from FAA Certified Flight Instructor consisting of
the following:
Instruction
Dual Flight Time
Supervised Solo Time
Ground School
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10
4
12
3.1.3. Use of aircraft consisting of the following:
Aircraft Rental
Single Place Rental
Ground Handling Lessons
Solo Time
Dual Trainer Rental
Two Seat
4
2
8
3.2. Standards
3.2.1. The Western Sport Pilot Association LLC, Primary Instructor and Instructor
Company insure that all instructors are fully certified and legal FAA flight
instructors, specifically qualified in powered parachutes.
3.2.2. The Western Sport Pilot Association LLC, Primary Instructor and Instructor
Company insure that all Aircraft flown during this course of instructor are FAA legal
light sport aircraft approved for training purposes or Legal FAR Part 103 single
seat.
3.2.3. The Western Sport Pilot Association LLC, Primary Instructor and Instructor
Company insure that all examiners who will conduct testing are authorized by the
FAA to conduct the test listed and issue the appropriate pilot’s license.
3.3. Completion of the Course
3.3.1. The parties to this agreement will make every effort to complete the prescribed
course of instruction during the dates for this course:
Course Number:________________ Dates: _______________________
3.3.1.1. The parties understand that it may be necessary due to weather,
equipment problems, health or other unforeseen circumstances to complete
some aspects of the course before the scheduled dates or after the scheduled
dates. In the case of course discontinuance for any reason, all parties will
make reasonable attempts to reschedule and complete the course at the
earliest possible time.
3.3.2. The Western Sport Pilot Association LLC, Primary Instructor and Instructor
Company can make no guarantee that the student will be successful in learning the
skills required to be a powered parachute sport pilot nor be successful in passing
the required written and practical tests necessary to earn the sport pilot license.
3.3.2.1. The parties agree that the course will be discontinued at the soonest
possible moment when parties acknowledge that the student will not be
successful in completing the course.
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12
3.4. Liability
3.4.1. All parties acknowledge that there is not insurance for the instructor, student or
for the aircraft for this course of instruction and the student agrees to review, sign
and submit the Course Waiver of Liability, along with this contract.
4. PAYMENT
4.1. The total cost for this course is _____________and is inclusive of items detailed above
in 3.1.1 through 3.1.3
4.2. The student is responsible for all costs not included in 3.1.1 through 3.1.3, including
housing and food.
4.2.1. The other parties will make every attempt to provide for convenient and
economic housing and meal arrangements.
4.3. A deposit of _____________ of the total course cost is required at time of registration.
4.4. The providers of the training will adjust the course cost for students who have previous
experience or who will be using their FAA legal training aircraft during this course.
4.4.1. All adjustments to course costs will be agreed to in writing in a separate
agreement.
4.5. If the student cancels their participation in this course more than 30 days before the
beginning of the course all deposits, minus any costs incurred by the training providers
and minus $50 for accounting and handling will be refunded.
4.6. If the student cancels their participation in this course with less than 30 days notice all
deposits, minus any costs incurred by the training providers and $150 for accounting
and course preparation will be refunded.
4.7. If the providers of the training and the student determine during the course that the
student will not be successful, the portion of the course fees for training, services or
materials not yet delivered will be refunded in full.
4.8. If the course is discontinued due to weather, equipment malfunction, health or other
unforeseen circumstances no monies will be refunded, unless both parties agree that
the course cannot be continued at a future time.
4.8.1. In such case the all monies minus the costs incurred by training providers up to
the point of course discontinuation will be refunded to the student.
5. DISPUTES
5.1. The parties agree to make every effort to resolve disputes through direct
communication between affected parties.
5.2. If a dispute can’t be resolved through two-party communications, then the parties
agree to arbitrate the dispute through a third party arbitration agreement.
5.3. The parties agree that in no case will either party for any reason initiate civil or criminal
litigation.
6. TERMINATION OF AGREEMENT
6.1. This agreement is terminated upon successful completion of the course by the student
indicated by the issuance of the EAA Student Pilot Endorsement and Certificate.
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6.2. This agreement can be terminated by either party according to the terms of 3.3.2.1
(Student Lack of Success)
6.3. This agreement can be terminated before the course of instruction begins, according to
the terms of 4.5 through 4.8 (Course Refunds)
Signed this _______________________Day of__________________, 2012
____________________________________
Student
____________________________________
Primary Instructor
___________________________________
Witness
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IMPORTANT LEGAL DOCUMENT
READ CAREFULLY
Acknowledgment of Risks of Hazards, Waivers, or Rights, Release and Indemnity Agreement
WARNING!!! By signing this document, you are giving up valuable legal rights in the event that you are injured
while engaging in any Light Sport Aviation activity and attempt to sue someone for those injuries. You will
probably not be able to win your lawsuit, even though there may be others legally at fault. Furthermore, there is
no insurance coverage provided by the released parties for any injuries that you may sustain while flying the
Powered Parachute. BE ADVISED!!! that waiver forms similar to this form have been upheld in various courts
throughout the United States.
Full Legal Name:_____________________________________________________________
Legal Address:_______________________________________________________________
Telephone Number: _________________________ Today’s Date______________________
Training Certificate Level_________________________Number:______________________
Organization:____________________
I UNDERSTAND THAT I MUST BE 16 YEARS OR OLDER TO FLY ANY LIGHT SPORT AIRCRAFT
TRAINER
(Initial)_________
I AGREE TO BE FULLY TRAINED AND CERTIFIED TO RENT AND OPERATE A LIGHT SPORT
AIRCRAFT TRAINER, OR BE UNDER THE DIRECT SUPERVISION OF A CERTIFIED INSTRUCTOR
WHILE OCCUPYING AND OPERATING A POWERED PARACHUTE.
(Initial) ___________
I ACKNOWLEDGE THAT I AM RESONSIBLE FOR THE COST OF REPAIRING ANY AND ALL
DAMAGE THAT RESULTS WHILE I AM RENTING OR OPERATING A LIGHT SPORT AIRCRAFT
FROM THE PARTIES IN THIS AGREEMENT, OR TO MY OWN LIGHT SPORT AIRCRAFT AT ANY
TIME.
(Initial) ______________
I ACKNOWLEDGE THAT UNDER NO CIRCUMSTANCE WILL I CONDUCT TRAINING TO OTHERS,
NOR WILL I ALLOW ANYONE TO BE SEATED IN A LIGHT SPORT AIRCRAFT OWNED BY THE
PARTIES CONTAINED IN THIS AGREEMENT WITHOUT PRIOR PERMISSION FROM THOSE PARTIES,
AND ONLY AFTER OBTAINING AND PRESENTING A SIGNED INDEMNITY WAIVER FROM ANY
PERSON I PROPOSE TO OCCUPY A SEAT IN THE
LIGHT SPORT AIRCRAFT.
(Initial)______________
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1. I hereby acknowledge that flying involves travel in three dimensions and such activity is
SUBJECT TO MISHAPS, INJURY OR POSSIBLY EVEN DEATH: Therefore, I agree to
assume all such risks when participating in Light Sport Aviation Activities.
(Initial) _____________
2. I hereby forever RELEASE AND DISCHARGE _____________________________ and
Western Sport Pilot Association LLC, including their officers, directors, their various suppliers,
dealers, agents and employees, (hereinafter collectively referred to as the “released parties”),
from any and all liabilities, claims, demands, or causes of action that I may herein-after have for
injuries and damages arising out of my participation in Light Sport Aviation Activities, including
but not limited to, losses CAUSED BY PASSIVE OR ACTIVE NEGLIGENCE OF THE
RELEASED PARTIES, or hidden, latent, or obvious defects with the equipment sold or used.
(Initial) ___________
3. I further agree that I WILL NOT SUE OR MAKE CLAIM AGAINST THE RELEASED
PARTIES for damages or other losses sustained as a result of my participation in Light Sport
Aviation Activities. I also agree to INDEMNIFY AND HOLD THE RELEASED PARTIES
HARMLESS from all claims, judgments and costs, including attorney’s fees incurred in connection
with any action brought as a result of my participation in any Light Sport Aviation Activities
including, but not limited to losses CAUSED BY THE PASSIVE OR ACTIVE NEGLIGENCE OF
THE RELEASED PARTIES, or hidden, latent or obvious defect with the Light Sport Aircraft and
accessories.
(Initial)___________
4. I further agree that I shall INDEMNIFY AND HOLD THE RELEASED PARTIES HARMLESS
from all claims, judgment and costs, including attorney’s fees incurred in connection with any action
brought as a result of the use of any Light Sport Activities involving a product that I purchased from
the RELEASED PARTIES including, but not limited to losses CAUSED BY THE PASSIVE OR
ACTIVE NEGLIGENCE OF THE RELEASED PARTIES, or hidden, latent, or obvious defect with
the Light Sport Aircraft and accessories.
(Initial)___________
5. I UNDERSTAND AND ACKNOWLEDGE THAT LIGHT SPORT AVIATION ACTIVITIES
HAVE INHERENT DANGERS that no amount of care, caution, instruction or expertise can
eliminate and I EXPRESSLY AND VOLUNTARILY ASSUME ALL RISK OF DEATH OR
PERSONAL INJURY SUSTAINED WHILE PARTICIPATING IN ALL LIGHT SPORT
AVIATION ACTIVITIES INCLUDING THE RISK OF PASSIVE OR ACTIVE NEGLIGENCE
OF THE RELEASED PARTIES or hidden, latent or obvious defects with the Light Sport Aircraft
and accessories.
(Initial)___________
6. I have been advised and recognize that my Light Sport Aviation Activities are NOT covered by
any personal accident, general liability insurance policy issued to the RELEASED PARTIES.
(Initial)____________
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7. I understand that because of the unavoidable and unprecedented dangers involved in flying and
the use of a Light Sport Aircraft, the RELEASED PARTIES are making no warranty of any kind,
expressed or implied, concerning any or all of the equipment or facilities supplied or sold by the
RELEASED PARTIES. Flying is a DANGEROUS sport and associated equipment, such as
parachutes and engines do not always function as they are expected to. I understand that the Light
Sport Aircraft and accessories are sold by the RELEASED PARTIES without any warranty that they
are fit to use for any purpose whatsoever and without any warranty as to their merchantability or
airworthiness.
(Initial)____________
8. I understand that due to the nature of flying including Light Sport Aircraft that it is impossible for
an instructor to determine with any degree of certainty that I have been properly trained to
participate in the sport or that I have fully grasped and comprehend the instruction presented to me.
Furthermore, there is no representation that the instructor can predict how any person will react
under conditions and stress that are inherent in flying. For that reason, I understand that there is no
warranty, whatsoever to me as to the adequacy of the training, if any, provided by the RELEASED
PARTIES. I further understand that I will be required to warrant to the RELEASED PARTIES that,
based upon my own evaluation of the training I have received, if any, that I believe that I have been
adequately trained and that I can safely perform a solo flight in a Light Sport Aircraft and I am able
to cope with the conditions and stress of flying before I will be allowed to make my first solo flight.
(Initial)____________
9. I specifically agree that I have inspected the land facilities that I will be using for flying and have
made myself aware of all dangerous objects such as trees, fences, buildings, POWER LINES, rocks,
hidden holes, uneven terrain and other natural and manmade objects that could cause injury or death
while participating in Light Sport Aviation Activities. I have read and fully understand and promise
to acquaint myself with and to follow all the federal and local regulations that apply to Light Sport
Aviation Activities.
(Initial)_________
10. I certify that considering my lifestyle and the manner in which I am supporting my dependents, I
have made adequate provisions for my spouse, if any, any heirs, if any and all persons dependent
upon me so that in the event of my death, they will have suffered no financial loss.
(Initial)_________
11. Without waiving the above, I further agree that in the event that I or anyone on my behalf brings
any claim whatsoever against any of the RELEASED PARTIES arising out of Light Sport Aviation
Activities, including an action for personal injury, that the matter be arbitrated by and under the rules
of the American Arbitration Association with each party to share equally the expenses of arbitration
shall be final and binding upon all the persons.
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(Initial)_________
12. It is further specifically agreed that the location of any arbitration hereunder shall be in the
County of Clark, State of Washington, and without waiving the requirement of arbitration if this
matter is filed or any legal action is initiated other than an arbitration, venue and jurisdiction for any
legal action arising hereunder shall be in the Superior Court of the County of Clark, State of
Washington. If the court should decide that any portion of this contract if illegal or unenforceable,
such determination shall not affect the validity or enforceability of the remaining provisions hereof,
all of which remain in effect.
Initial)_________
13. MEDICAL STATEMENT: I HEREBY CERTIFY THAT I DO NOT SUFFER FROM ANY
PHYSICAL INFIRMITY OR CHRONIC ILLNESS which would affect my ability to engage in
Light Sport Aviation Activities. I also recognize that it is against Federal, State, and Light Sport
Aviation regulations to take either alcohol or non-prescription drugs while engaging in Light
Sport Aviation Activities. I agree to refrain from doing so for such a period of time prior to these
activities that my mental and physical abilities are not impaired.
(Initial)___________
I have carefully read this entire document and agree to all aspects of the waiver, as indicated by my initials after
each section:
_______________________________________________ _________________________________
By
Date
Witnessed by:
________________________________________________ ___________________________________
By
Date
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