Sky Series Powered Parachute Owner's Registration Form

Name:

 

Address:

 
   

Phone Number(s):

 

Fax Number:

 

E-mail Address:

 

Total PPC flight time:

 

Type and size Wing:

 

Date of purchase:

 

Serial number:

 

Dealer's name:

 

Vehicle type and year:

 

Did your dealer go over the Dealer Delivery Check List with you?

Did you initial the appropriate spots in your Delivery Check list?

Is there any other information that you think High Energy Sports, Inc. should provide with your wing?

Acknowledgment

I have received, read and understand all aspects of this product and the technical information provided. By using this system or allowing its use by others, I agree to assume all risk and liability associated with its use. I also agree to hold harmless Quantum Parachutes, LLC and High Energy Sports, Inc. and any officers, agents and assigns thereof from any liabilities for injuries or damages arising from such use.

 

The parachute was installed and inspected by a competent technician. Any deviation from the manufacturers instructions concerning the instillation, maintenance, and use of the system, or any modifications or alterations, shall constitute willful negligence by myself and shall be done at my own risk.

Pilot/Owner Name: Phone:

(print)

Pilot/Owner Signature: Date:

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High Energy Sports, Inc.
Powered Parachute Department
1081 Shepard Street, Unit 'A'
Anaheim, CA 92806-2819

 
   
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High Energy Sports Inc.1081 Shepard Street Unit AAnaheim, CA 92806phone: 714-632-3323Fax: 714-632-6622