Waiver

What type of flyer are you?

Booking or gift voucher number *

Skydiver license number

Date of birth

Participant's date of birth

Contact Details

Please provide correct information as this will help us match an account if applicable

Information of the legal representative

E-mail address *

Invalid email address

Email is needed to receive the link for the media package

Lastname *

Firstname *

Phone number *

Flyer's Information

E-mail address *

Invalid email address

Email is needed to receive the link for the media package

Lastname *

Firstname *

Country *

Address *

City *

Weight

Phone number *

Name and address of the spectator

Questions

Joint problems or injuries	Yes No
Dislocation (including historical) of the shoulder joint	Yes No
Back problems that prevent safe articulation	Yes No
Heart conditions (including a history of heart attack or stroke)	Yes No
Mental illnesses	Yes No
Consumption of alcohol or other intoxicants	Yes No
Weight over 120 kg (except where explicitly authorised by an ILAB Instructor)	Yes No
Pregnancy - in the case of women	Yes No
Epilepsy	Yes No

Terms of service

This declaration of state of health and release from liability regards all forms of participation in flight and non-flight activities with Indoor Wingsuit Stockholm, Sweden, operated by Inclined Labs AB (ILAB). For participants under the age of 18 years, a parent or guardian must agree to participation by signing this document. ”I” or ”you” in this case should be understood as the person in your care.

I declare that I am in good physical condition and that, as far as I am aware, there is no health related impediment to my participation in the planned activity as described in the medical requirements available on indoorwingsuit.com*, and I am not affected by any of the contraindications listed below. I am in full control of myself and I am participating of my own free will. I am not pregnant or under the influence of alcohol/medication/any substance that affects consciousness, sensory input, balance, or motor control.

I understand that my participation entails a risk of injuries of minor or major degree and I wish to participate at my own risk. I am aware that due to policy restrictions, injury from the planned activity may not be covered by insurance. I myself am responsible for the validity and content of my insurance cover. I know that ILAB has not separately insured me for this kind of activity.

I consent to my participation being filmed/photographed by ILAB and that ILAB reserves the right to use them for any purpose without compensation or notification. (Personal cameras etc. aren’t allowed inside the Flight Chamber.)

I consent to my name being shown on screen at various spots within the Indoor Wingsuit Stockholm facilities (manifest showing participants on upcoming flights etc.).

In accordance to what I have stated above, by my signature, I release Inclined Labs AB from all liability in the event of any injury. I further declare that I will not file either a criminal or civil legal case against I consent to my participation being filmed and photographed by Inclined Labs AB, and that Inclined Labs AB reserves the right to use them for any purpose without compensation or notification, its representatives or affiliates. This also applies to my beneficiaries and legal successors. Inclined Labs AB is not liable to me for any damages or injury that I may suffer.

Signature

For questions regarding medical requirements, please see one of Inclined Labs’ representatives.

TO BE FILLED IN IF PARTICIPANT IS SHORTER THAN 120 CM OR TALLER THAN 210 CM, AND/OR WEIGHS MORE THAN 120 KG
– COUNTERSIGNATURE OF AN INCLINED LABS AB REPRESENTATIVE APPROVING FLIGHT ALTHOUGH BODY MEASURES ARE OUTSIDE OF RECOMMENDED
LIMITS

SIGNATURE, INCLINED LABS REPRESENTATIVE

PRINTED NAME, INCLINED LABS REPRESENTATIVE

Medical Contraindications:-

1. Joint problems or injuries
2. Dislocation (including historical) of the shoulder joint
3. Neck or back problems that prevent safe articulation
4. Heart conditions (including a history of heart attack or stroke)
5. Mental illnesses
6. Consumption of alcohol or other intoxicants
7. Weight over 120 kg (except where explicitly authorised by an ILAB Instructor)
8. Pregnancy
9. Epilepsy

INCLINED LABS AB (559036-4765) · DECLARATION OF HEALTH AND RELEASE FROM LIABILITY · DOCUMENT VERSION 14 · 220101

OK, I got it

Signature

I accept the release of liability, assumption of risk, indemnity and publicity agreement as set out and accept terms, conditions and privacy policy.

Confirmation

Booking or gift voucher number

Information of the legal representative

E-mail address

Lastname

Firstname

Phone number

Flyer's Information

E-mail address

Lastname

Firstname

Date of birth

Address

Weight (kg)

Phone number

Name and address of the spectator

E-mail address

Lastname

Firstname

Date of birth

Phone number

Other participants

I accept the release of liability, assumption of risk, indemnity and publicity agreement as set out and accept terms, conditions and privacy policy.