ASC Student Pilot Application and Release Form
231 SW Bonanza Gln, Lake City, FL 32025 | 269-209-1466 | kimojim@aol.com | aerosports.org
Free if used for reporting.
$10 if for membership card.
I understand that Light-Sport flying is a potentially dangerous activity that may result in injury or death. I understand ultralight flying is only regulated by the limited rules of 14CFR103 and the training exemption 9785 that allows for two person flight. It is the sole responsibility of each individual participating in ultralight activities to ensure his or her own safety and the airworthiness of the vehicle.
I understand and agree that Aero Sports Connection, Inc., also known as ASC, is a private organization whose purpose is to support and promote light aviation, and that ASC provides no regulation or control of individuals, instructors, or vehicles.
I freely and voluntarily assume all risks associated with light flight. I, and my heirs, promise to hold ASC, its staff, this instructor and those listed, harmless and blameless for any injury, death, or property damage that may result from my light flying and from any light instruction that I may receive. I understand that I am solely responsible for my safety and that I am solely responsible for attaining a thorough understanding of all information, procedures, and actions that are necessary to ensure a safe flight prior to beginning every flight. I certify that all statements made by me on this form are true and correct.
Print, sign, and return to Aero Sports Connection.
Lake City, FL 32025
Phone: 269-209-1466
Email: kimojim@aol.com
Web site: aerosports.org