NCSA Guest Membership Application

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NCSA Guest Membership Application
From the NCSA By-laws:
Section VIII GUEST MEMBERS: Visiting licensed pilots with privately owned glider may
use Club tow services on the following conditions:
(1) Payment for the tows will be the responsibility of a member in good standing
who is supporting the guest member.
(2) Obtain a field orientation, review NCSA operating procedures, and take a
dual flight with a Club CFI-G. The dual flight may be waived at the
instructor’s discretion.
(3) Payment of a daily fee set by the Board of Directors.
Guest members have no voting privileges. Guest membership flight privileges
may be withdrawn at the discretion of the Board of Directors.
NCSA allows up to five days/year of Guest Membership at $10/day. Additionally, our insurance
requires that all Guest Members must be members of The Soaring Society of America and
members of glider clubs that have SSA insurance for their club gliders.
Guest Member’s Name _______________________________________ Date______________
Guest Member’s SSA # _______________
Guest Members Glider Club insures their club gliders with SSA__________________________
NCSA Sponsor’s Name _________________________ (Sponsor shall be responsible for all tow
charges)
“I have read the NCSA Standard Operating Procedures for Guest Members and understand
them”. Signature____________________________________
Attach a check for $10/day made out to NCSA. A maximum of five days/year of Guest
NCSA flight instructor’s approval:
I find _________________________________ qualified to safely aerotow behind an NCSA
towplane at Byron.
Instructor’s name and signature:______________________________________________
Date: ______________________________
NORTHERN CALIFORNIA SOARING ASSOCIATION
FLIGHT DECLARATION
WAIVER and ASSUMPTION of LIABILITY
ASSUMPTION OF RISK: The undersigned wishes to obtain glider aerotows and/or receive flight
instruction with the Northern California Soaring Association (NCSA). I understand that aviation
is potentially dangerous and freely undertake this risk.
In consideration of acceptance into the NCSA as a guest member, I agree to be legally bound
for myself, my heirs, executors, administrators, representatives, successors, or assigns and
agree to waive any and all rights and claims for damages of whatever variety or sort which I
may have against the NCSA or club instructors. I further agree to assume full responsibility for
and to hold the aforementioned entity or persons free and harmless from any and all obligations
and damages to persons or property done by me.
I have carefully read this document and fully understand and agree that I am waiving any claims
for damages for which I may suffer by any act of negligence arising now or in the future by any
commission or omission of any of the aforementioned entity or persons and that the
consideration for this waiver is the NCSA and its instructors is allowing my to participate in
NCSA activities and flight instruction.
This waiver will extend to the above mentioned organization, persons, or their successors or
assigns.
RELEASOR: (printed name)________________________________ Date:______________
Signature:_____________________________________________
Witness:__________________________________
Executed at (Location):______________________________________
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