Please enter your legal name as it would appear in your government issued identification documents. If you do not have a middle name, leave that blank.

Your parent or legal guardian must provide their name and upload a government issued photo ID below in addition to your identification documents.

As the parent or legal guardian of the minor named above, you must provide your name and upload a government issued photo ID below in addition to the minor's identification documents.

I confirm under penalty of perjury that I am a Parent or Legal Guardian of person named in this agreement and I agree to IA's Waiver of Liability & Hold Harmless Agreement on their behalf.

1. I acknowledge that any aircraft rental, flight operation, or flight/aviation instruction provided by Independence Aviation, LLC involves the possibility of physical injury or death and/or damage to property.

2. In consideration of participating in Independence Aviation, LLC rental/flight operations, I hereby state and agree as follows:

(a) I waive, release, and discharge Independence Aviation, LLC, and its employees, contractors, representatives, or agents, from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, theft, or damage of any kind, including economic losses, which may arise by reason of my participation in aircraft rental/flight operations. To the fullest extent possible by law, I hereby waive, release, and discharge Independence Aviation, LLC, and its employees, contractors, representatives or agents notwithstanding their own negligent acts or omissions or the negligent acts or omissions of others.
(b) I will not bring any action or claim against any of the parties hereby released for any reason associated with flight operations or any activity related to aircraft rental/flight operations, including related activities, within aircraft or airport facilities.
(c) I indemnify and hold harmless the parties hereby released from any and all claims made or liabilities assessed against them as a result of my participation in aircraft rental/flight operations.

3. I hereby affirm that:

(a) I am eighteen (18) years of age or older. I have read this document and I understand its contents. I acknowledge the possible hazards in the use of aircraft and I am fully and voluntarily waiving all liability that may arise by reason of participation after full consideration of the rights I am waiving. This waiver is in consideration of my being allowed to participate in aircraft rental/flight operations with Independence Aviation, LLC;
(b) I am the parent or legal guardian of client. I have read this document and I understand its contents. I acknowledge the possible hazards in the use of aircraft and I am fully and voluntarily waiving all liability that may arise by reason of this participation after full consideration of the rights I am waiving. This waiver is in consideration of my child being allowed to participate in aircraft rental/flight operations with Independence Aviation, LLC.

By signing below as the client or parent/guardian of the client you agree that:

(a) you have read and understand the policies and procedures found in the General Operations Manual;
(b) you have read and understand the above agreement;
(c) the information you have provided on this form is true and accurate;
(d) there are no known reasons that the client should not be granted aircraft rental privileges;
(e) being granted aircraft rental privileges will not violate any law or order stipulating otherwise;
(f) there are no known current FAA enforcement actions being considered against the client.

1. I have read and fully understand Independence Aviation's (IA) Policies & Procedures Manual and; 2. I promise to comply with all current and future updates of IA's Policies & Procedures as set forth in the latest version of the manual.

1. I understand the Independence Aviation (IA) Polices & Procedures require I obtain Aircraft Rental Insurance or an Aircraft Owner's policy to cover additional liability and IA's deductible. 2. Additionally, I acknowledge that should an accident occur when I am in the aircraft, I am responsible for the amount of the insurance deductible. 3. I will provide to IA proof of insurance. 4. I will provide IA a copy of the most updated declarations page and keep IA informed should the policy be changed or cancelled.

1. I acknowledge that I have read and fully understand Independence Aviation's (IA) Aircraft General Care Practices (Addendum C to the IA P&P). 2. I promise to comply with all current and future updates of IA's Aircraft General Care Practices

1. I am entering into an agreement with Independence Aviation, LLC, its staff, and its assigned representatives, herein referred to collectively as the "Club.” I understand the Club may capture my likeness in the form of video, audio, and photographs, which are herein collectively referred to as “Recordings.” I grant the Club the right to take, edit, alter, copy, exhibit, publish, distribute, and make use of any and all Recordings of me for any lawful purpose at Club’s discretion.
2. This authorization extends to all languages, media, formats, and markets now known or later discovered.
3. This authorization will continue indefinitely unless I otherwise revoke this authorization in writing. Any such revocation will be valid only after a manager of the Club has confirmed its receipt. Revocation will only affect future Recordings and publishing. Any previous Recordings and published products will remain property of the Club and use of such may be discontinued only at the sole discretion of the Club’s management staff.
4. I also waive the right to inspect or approve any Recordings or finished products produced, or derived from Recordings in which my likeness appears.
5. I agree that I have either already been fully compensated for this use of my likeness, or have otherwise agreed to this release without being compensated. I waive all rights to royalties or other compensation arising or related to the use of the Recordings.
6. I understand and agree the Recordings shall become property of Independence Aviation, LLC and will not be returned.
7. I hereby hold harmless and release Independence Aviation, LLC, its staff, and its assigned representatives from all liability, petitions, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.