Lake Chelan Flyers Membership Form
Email *
Full Name *
Phone Number *
Home City & State/Province/Country *
USHPA Number *
(Optional) Tracking: Please provide the tracking page(s) for any trackers you fly with (InReach, Spot, APRS, link to your XCFind group, etc.). If you choose to provide this, it can help the club locate you in case of an incident.
Emergency Contact Name *
Emergency Contact Phone Number *
Waiver
https://lakechelanflyers.org/wp-content/uploads/2022/04/USHPA-CHAPTER-WAIVER-FORM-2022.pdf

AFFIRMATION OF UNITED STATES HANG GLIDING AND PARAGLIDING ASSOCIATION RELEASE, WAIVER AND ASSUMPTION OF RISK AGREEMENT
AND ACKNOWLEDGMENT OF APPLICABILITY TO USHPA CHAPTER
Flight 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 Lake Chelan Flyers (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:
Lake Chelan Flyers, and each of its members, employees, agents, volunteers, officers,
directors, and managers;
Washington State Dept of Wildlife; Public Utilities Dist.1 of Chelan County; WADNR; City of Chelan
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.

Have you read and agreed to the terms of the waiver above, and do you consent to use an electronic signature to sign it? If you do not, please contact the club to arrange the signing of a paper copy: https://lakechelanflyers.org/contact/ *
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Type your name to electronically sign the waiver *
Remember to pay your club dues for this calendar year, if you have not already done so! Your club membership will not be active until you have. https://lakechelanflyers.org/join-the-club/ *
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A copy of your responses will be emailed to the address you provided.
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