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 Guest membership flight privileges may be withdrawn at the discretion of the Board of Directors.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):______________________________________