This is to affirm that I will be participating and flying R/C aircraft at my own risk while at the SWAMPS flying field. I also affirm and acknowledge that I will take full responsibility for damage or injury to other people and/or there property done by me while flying my R/C aircraft at the SWAMPS flying field.

SIGNED: ______________________________________

I certify that I have read the club Constitution and Bylaws. I agree to abide by them and all other rules and regulations adopted by the club.

SIGNED: ______________________________________

DATE: ______________