STAFF USE:

S/N: _____________ ID _____________ Insurance: Yes / No

RS:____________ JR:___________ H:_____ W:_____ BMI:____

FIRST NAME: _________________________ LAST NAME: _______________________________

TANDEM PARACHUTE JUMPER PARENT AGREEMENT

RELEASE OF LIABILITY AND AGREEMENT NOT TO SUE
I ________________________, as the parent/legal guardian of the above-named child, fully acknowledge the
dangers and risks of which my child may be exposed to by participating in activities covered by this release.
With full understanding of those risks, I hereby grant consent to my son or daughter to participate in tandem
skydiving and sign this consent form of my own free will. With my signature below, I confirm I have read the
Release, been given the opportunity to ask questions, considered it effects, understand its content, given true
information, and agree fully to the terms stated below.

In consenting, as the legal guardian, to my child’s participation in tandem skydiving and/or any related activities
(hereinafter collectively referred to as the “activities covered by this Release”) conducted by Skydive Dubai LLC
(Skydive Dubai) and/or any of their affiliates, I acknowledge and agree to the following terms. I understand that my
consent to the each term is done so on behalf of my child.

1. RELEASE OF LIABILITY.
I hereby RELEASE, AND DISCHARGE released parties from any Liability, claims, demands, or causes of
action that I may hereafter have for injuries or damages arising out of my participation in Tandem Skydiving,
even if caused by NEGLIGENCE, either active or passive, or other faults of released parties.

2. ASSUMPTION OF RISK.
I voluntarily, freely, and expressly choose to incur all risks associated with the activities including all risks during
Tandem Skydiving and I fully understand that those risks may include bodily and personal injury, damage to
property, disfigurement or death.

3. AGREEMENT NOT TO SUE.

I agree never, at any time now or in the future, to institute any lawsuit or cause of action against Skydive Dubai
or anyone else claiming on my behalf, or initiate or to assist in the prosecution of any claim for damages in
respect of injury to person or property, or my death, or any other loss or damage, howsoever occasioned arising
from the said activities, whether caused by the act, omission, negligence or fault, active or passive, direct or
indirect or from any other cause.

4. APPLICABLE LAW/WAIVER OF TRIAL/VENUE HEADINGS. I agree that this Release shall be subject
to the laws of Dubai and the applicable Federal laws of the United Arab Emirates (the Laws) and the Laws shall
apply to issues involving the construction, interpretation, and validity of the Release, and that the Laws shall
govern any dispute arising from or related to this Release or the activities covered by this Release. Should this
Release be violated and suit be brought against any of the Releasees, I hereby waive my right to a trial. The
headings used throughout this Release are for convenience only and have no significance in the interpretation
of the body of Release.

5. NO PHYSICAL INFIRMITIES. I have no physical infirmity, chronic ailment, or injury of any nature and am
not under treatment for a physical infirmity or chronic ailment of any nature and have never been treated for any
of the following: cardiac/pulmonary conditions or disease; high or low blood pressure; fainting spells, seizures
or convulsions; nervous system disorder; dislocated shoulder or joint; artificial joints; kidney or related diseases;
shortness of breath, hearing loss or impairment. I am not taking any medication of any kind. I have not taken
any alcoholic beverages or drugs within the last 12 (twelve) hours. I have not been scuba diving within the last
24 (twenty-four) hours. I confirm that I am physically fit and capable of undertaking the activities covered by this
Release. I agree to abide by the decision of Skydive Dubai’s official or agent regarding my approval to participate
in Tandem skydiving activities.

6. WAIVER OF RIGHTS. I understand that by signing this Release, I am giving up important legal rights, and it
is my intent to do so and I do so of my own free will and with full acknowledgement of, and agreement to, the
terms and conditions in this Release.

(______) [Please INITIAL when read, acknowledged and agreed.]

Form. SDD-MNFST-202, Tandem Agreement 1, March 2019

 7. TRAINING. I understand that prior to participating in Tandem Skydiving, I shall receive a safety briefing to
prepare me for my Tandem Skydive. I warrant the thoroughness and completeness of any training and/or
briefing I receive by voluntarily participating in Tandem Skydiving/

8. PHOTO & VIDEO RELEASE. For valuable consideration received, I hereby grant Skydive Dubai and its
legal representatives and assigns (hereinafter collectively referred to as the “Photographer”), the irrevocable
and unrestricted right to use and publish photographs and video images of me, or in which I may be included,
for editorial, trade, advertising, and any other purpose and in any manner and medium and in any jurisdiction,
to alter the same without restriction, and to copyright the same. This includes any and all uses that the
Photographer deems are necessary or desirable. I agree that any images purchased by me from the
Photographer are for personal use only and may not be used for commercial gain, and that I may request
commercial licensing information from Skydive Dubai by contacting ‘pr@skydivedubai.ae’ if I wish to use any
images for that purpose. I hereby release the Photographer from all claims and liability relating to any
photographs or video images of me.

9. CANCELLATIONS & POSTPONEMENTS . Skydive Dubai reserves the right to cancel a jump or refuse a
student or skydiver from performing a skydive for any reason.

10. INSURANCE AVAILABILITY. Medical insurance, passenger liability insurance, accident insurance or any
other kind of personal or general liability insurance coverage are not available in respect of the activities covered
by this Release or in respect of any of the services offered by any of the Releasees.

WITHOUT LIMITATION, I ACKNOWLEDGE AND AGREE THAT I HAVE CAREFULLY READ THIS RELEASE AND
FULLY UNDERSTAND THAT IT IS A RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I MAY
HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST THE
RELEASEES. IF ANY ATTEMPT FOR CLAIM IS MADE, I UNDERSTAND I WILL BE RESPONSIBLE FOR ALL
DEFENSE COSTS INCURRED BY THE RELEASEES.

With my signature below, I confirm that I have read the Release, been given the opportunity to review the Terms and Conditions, ask
questions, considered its effects, understand its content, given true information, and agree fully to the terms as stated above.

Child’s Full Name Gender

Male Female
Date of Birth Age
DD MM YYYY

Street or PO Box Mailing Address

City/State Zip/Postal Code Country

Your Telephone: Emergency Contact – Legal Guardian

Name: __________________________________________
(+____ ) ___________________
Telephone:(+____ ) _______________________
Email Address

______________________________________ _______________________________________

Legal Guardian Signature / Date (dd/mm/yy) Qualified Skydive Dubai Staff

Form SDD-MNFST-202, Tandem Agreement. 1, March 2019