Complete the online Membership Form – Rogue Valley Hang Gliding & Paragliding Association

Important Notice About Joining Online

Pilots joining online will show up immediately on the membership page and will receive a confirming E-mail as proof of membership.

To Continue With Online Sign-Up, Complete the RVHPA Annual Membership Form

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RVHPA Membership Application

Membership year:*

Note memberships purchase from Sept. 1st onward are also good for the following year.

Membership type:*

Local Pilot

Visiting Pilot

First name:*

Last name:*

USHPA membership number:*

Foreign pilots with temporary memberships enter 999

Other ratings:

Instructor, tandem, etc.

Email:*

Confirm Email:*

Cell Phone Number:*

phone share*

OK to share this phone number on the RVHPA website?

Yes

Other members can contact you for coordinating rides to launch or retrieves

Tracker URL:

If you fly with a SPOT or InReach (for example "share.garmin.com/JoePilot")

Street address:*

Your home address

City:*

State:*

Zip code:*

Country:*

USA

Foreign

What foreign country?*

Glider*

Glider Make, Model, and color

Emergency contact name and relationship*

Example: spouse, partner, brother, sister, friend.

Emergency contact phone number*

As a condition of RVHPA membership, I pledge to read and abide by all Woodrat Mountain launch and landing zone rules for Hunter, Wells Land and LongSword LZs and all USHPA requirements. I also certify that I am a current USHPA member.*

I agree

RVHPA Association Liability Release Waiver and Assumption Of Risk Agreement…………… RVHPA, (Rogue Valley Hang Gliding and Paragliding Association), is a local chapter of USHPA, (United States Hang Gliding and Paragliding Association). USHPA membership is required and by submitting my RVHPA Application / Renewal, I agree to maintain USHPA membership in good standing when flying and or participating in RVHPA activities. (Non-Rated Students may join and fly RVHPA sites if and only if under the direct supervision of their instructors and if all site protocols are followed and are a USHPA member in good standing, Temp 30day or Annual Pilot or above level.) By signing below and/ or submitting, I also reaffirm I have read in full and agree to the USHPA Association Liability Release (https:ljwww.ushpa.org/page/download.aspx?) that extends to RVHPA as a local chapter…………………. AFFIRMATION OF UNITED STATES HANG GLIDING AND PARAGLIDING ASSOCIATION RELEASE, WAIVER AND ASSUMPTION OF RISK AGREEMENT AND ACKNOWLEDGMENT OF APPLICABILI TY TO RVHPA CHAP TER………………….. Flight Under FAA Regulation "Part 103 is based on the assumption that any individual who elects to fly an ultralight vehicle has assessed the dangers involved and assumes personal responsibility for his/her safety". FAA AC-103-7…………………… In consideration of being allowed to use the Sites/ facilities and participate in the sport of hang gliding or paragliding and other activities (collectively the "Activities") associated with the Rogue Valley Hang Gliding and Paragliding Association (RVHPA) (the "USHPA Chapter"), I hereby reaffirm the United Hang Gliding And Paragliding Association ("USHPA") Release, Waiver and Assumption of Risk Agreement (the USHPA Release") previously signed by me. The definitions of the USHPA Release are hereby incorporated by reference as though fully set forth in this Affirmation…………………. I specifically acknowledge that the following persons, including their owners, officers, directors, managers, agents, spouses, employees, officials (elected or otherwise), members, independent contractors, sub-contractors, lessors and lessees, are also RELEASED PARTIES as that term is used in the USHPA Release: ………………………………. Rogue Valley Hang Gliding and Paragliding Association (RVHPA), and each of its members, employees, agents, volunteers, officers, directors, and managers; and all flying Site or event locations associated landowners and each of its members, employees, agents, volunteers, officers, directors, and managers including but not limited to (Katherine M Jones-JONES KATHERINE M FAMILY TRUST; John Hobart Culleton-Herd Peak; Martin & Cynthia Scala-Dark Hollow; Tim and Janet Hunter-Applegate Investments, Inc; Matt Sorenson-LongSword Vineyards LZ; Rodney Maddox-Longhorn field; Don and Athena Fitch-Donato LZ; Carol L. Holst, and Monty G. Holst-Applegate Store LZ; Eric Thompson-Herd peak LZ; Bureau of Land Management-Woodrat Launches; Dennis Byrne-Mule LZ; Jackson County Parks, Emigrant Lake Recreation Area; Barbara Chasteen-Chasteen LZ; Bruce and Annita Phillips-Kingfisher LZ; Joe Corp- Keith W Corp Sr. Trust, Corp Ranch; Leslie and Rachel Martin- Red Lily LZ; Thaddeus Gala-Billings LZ; Southeast Jacksonville LLC-Jacksonville LZ; Garon Lee Sound, Garon Lee Wells, Shannon Louis Wells, Wells Land Vineyard LLC, and Judith Ann Wells-Wells Land LZ; John and Sarah Staver, RAKOG LTD- 100 Acre LZ,StaverLZ and Purcells LZ; Joe and Suzi Ginet-Plaisance Ranch LZ; Phillip Marion- LongSword LZ) …………. This specification of certain RELEASED PARTIES is not meant to be an all-inclusive list or to limit in any way the scope of persons included within the definition of RELEASED PARTIES in the USHPA Release. Rather, it is made to give assurance to those listed here that they are included within the scope of the definition of RELEASED PARTIES in the USHPA Release……….. By signing below and/ or submitting, I ACKNOWLEDGE THAT I HAVE READ And AGREE to BOTH SECTIONS ABOVE IN FULL ( Member Agreement & Association Liability Release and AFFIRMATION OF UNITED STATES HANG GLIDING AND PARAGLIDING ASSOCIATION RELEASE, WAIVER AND ASSUMPTION OF RISK AGREEMENT). I also reaffirm the USHPA Association Liability Release that extends to RVHPA as a local chapter. ……………. This affirmation in no way limits, restricts or narrows the terms or scope of the USHPA Release previously signed by me. ..................... PRINT YOUR NAME BELOW AS YOUR DIGITAL SIGNATURE*

My digital signature

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