I, [Parent/Guardian Full Name], the undersigned parent/guardian of [Child’s Full Name], a minor, hereby provide my written consent for the participation of my child in a free flight in a small airplane operated by [Pilot’s Full Name], hereinafter referred to as the “Pilot.”

Flight Details: Date of Flight: [Date] Location: [Departure Airport] Duration: [Approximate Duration]

I acknowledge and understand the nature of the activity and the inherent risks associated with participating in a flight in a small airplane. I have been informed by the Pilot of the measures taken to ensure safety during the flight, including compliance with aviation regulations and weather considerations.

By signing this consent form, I agree to the following terms and conditions:

  1. Assumption of Risks: I understand that participating in a flight in a small airplane involves certain inherent risks. These risks include, but are not limited to, potential personal injury, property damage, and the risks associated with aviation activities.
  2. Release and Indemnification: I release, discharge, and hold harmless the Pilot, their agents, employees, and representatives from any and all claims, liabilities, demands, actions, and causes of action arising out of or in connection with my child’s participation in the flight. I further agree to indemnify the Pilot against any claims or liabilities that may arise from my child’s actions or omissions during the flight.
  3. Compliance with Instructions: I acknowledge that my child will be required to follow all instructions provided by the Pilot before, during, and after the flight. I understand that failure to comply with these instructions may result in the termination of the flight.
  4. Health and Fitness: I certify that my child is in good health and physically fit to participate in the flight. I confirm that my child does not have any medical conditions that would prevent them from safely participating in the flight. I agree to promptly inform the Pilot of any medical conditions that may arise prior to the flight.
  5. Governing Law: This written consent shall be governed by and construed in accordance with the laws of [State/Country], without regard to its conflict of laws principles.
  6. Severability: If any provision of this written consent is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

I have read and understood the terms of this written consent and voluntarily agree to its terms on behalf of myself and my child.

Parent/Guardian Full Name: __________________________ Parent/Guardian Signature: __________________________

Date: __________________________

Child’s Full Name: __________________________

Date of Birth: __________________________

Pilot’s Full Name: __________________________

Pilot’s Signature: __________________________

Date: __________________________

Witness (if applicable):

Witness Full Name: __________________________

Witness Signature: __________________________

Date: __________________________