TTT Mayem Registration Form

Artwork by Nate Newkirk

2008 Mayhem Online Registration

Saturday, May 24th, 2008 through Monday May 26th 2008

Welcome to the Tennessee Tree Toppers online registration page. Please complete all the required fields - it will only take a moment. Fill out this form completely and then click the submit button at the bottom of the form. No information will be sent until you click the submit button.

Registration is easy, just follow these steps:

Step 1: Complete this form.

Pilot Information: (all red fields required)

Last Name (family):
First Name (given):
Street Address:
City:
State: This field is not necessary for international pilots
Zip (postal) code:
Country:
Day Phone:
Eve. Phone:
Cell Phone:
FAX:
E-mail:
USHPA Number: If you are a foreign national, and not a full member of the USHPA, temporary membership forms are available on site.
USHPA Expiration date: (MM/YY)
Rating:
Glider Class:	Flex Rigid
Glider make and model: example- Wills Wing Falcon
Select optional events you wish to participate in Spot Landing Bomb Drop
Emergency Contact and Phone:

Please continue through the next section.
No information will be sent until you click the submit button at the bottom of this form.

Step 2: Send payment in the form of a check.

Entry Fee: The entry fee for the 2008 Mayhem is $25 for the main event and $10 for the spot-landing and bomb-drop contests. Entrants must have current TTT membership. If you are not a current TTT member or your membership will expire during the event, you must also complete the membership application and mail with your entry fee.

Please complete and send this form and mail your check to:
TTT Mayhem
PO Box 1286
Dunlap, TN 37327

Make the check payable to the Tennessee Tree Toppers. Full payment is required to secure your entry.

Please continue through the next section.
No information will be sent until you click the submit button at the bottom of this form.

Step 3: Read and accept our Pilot Request and Release.

Pilot Request And Release

2008 Tennessee Tree Topper's Mayhem
I, THE UNDERSIGNED, HEREBY REQUEST PERMISSION TO participate in flight practice, tests, contests and competitions to be held during the Mayhem. I have inspected the premises and I know the risks and dangers involved in the stated activities and that unanticipated and unexpected dangers may arise during such activities and I accept all risks of injury to my person and property that may be sustained in competition or otherwise with the stated and associated parties, in and about the premises.

IN CONSIDERATION OF THE PERMISSION GRANTED TO ME to enter the premises and participate in the stated activities, and in light of the consideration of the provisions of a liability insurance plan, I do hereby, for myself and my heirs, administrators and assigns, release, remise and discharge the owners, operators and sponsors of the said premises, of the activities, of the hang gliders and of the associated equipment, and their respective servants, agents, officers, and officials and all other participants in the stated activities due to negligence or any other fault.

I FURTHER DO HEREBY, for myself and my heirs, administrators and assigns, release, remise and discharge the UNITED STATES HANG GLIDING AND PARAGLIDING ASSOCIATION et al of their activities of the hang gliders and the associated equipment and their respective servants, officers and officials of and from all claims, demands and causes of action of any sort, for injuries sustained by my person and/or property during my presence in said premises and participation in the stated activities due to negligence or any other fault.

I REPRESENT AND CERTIFY that my true name is stated above and if I am under the age of 21 years, I do represent and certify that I have permission of my parents and/or guardians to participate in the stated activities and that they have full knowledge thereof.

I CERTIFY THAT MY ATTENDANCE AND PARTICIPATION in the stated activities is voluntary and that I am not in any way the employee, servant, or agent of the owners, operators, or sponsors of the premises and/or the activities therein.

I HAVE READ, UNDERSTAND AND AGREE TO THE FOREGOING REQUEST AND RELEASE. I HAVE READ AND UNDERSTAND THE TERMS OF REGISTRATION AND THE REFUND POLICY.

ACCEPT: YES NO