
Grov-Air, Inc.
Basic RV Construction Skills Class
Registration Form
317-272-7669
Full Name:________________________________
Partner Name:____________________________
Address:__________________________________________________________________________
City:
Phone
Number:__________________________________________________________
Occupation:_____________________________________________________________
Email
Address:__________________________________________________________
Date of
Class:____________________________________________________________
Comments:______________________________________________________________
Class
Cost: $395.00 per student, $50.00
additional for Spouse or Building Partner
Deposit: $50.00 non-refundable deposit to hold
space in class.
Assumption of
Risk, Waiver of Liability and Indemnification Agreement:
I
the undersigned, in exchange for being allowed to participate in the Basic
RV Construction Skills Class on ________________, agree to be bound
to the following: I hereby agree to
release, waive, covenant not to sue, indemnify and hold harmless Grov-Air,
Inc., Avon Electric, Inc., or any other aircraft builders occupying space in
the building and all of their officers, employees and agents (collectively the
“Releasees”) from any and all liability, claims,
demands, actions and causes of action whatsoever arising out of or related to
any loss, damage, or injury, including death, that may be sustained by
Participant or loss or damage to any property belonging to Participant arising
out of or related to participation in the above named class, and excepting only
such loss, damage or injury as may be caused by the sole negligence of any Releasee. I also acknowledge that these terms shall bind my
heirs and personal representatives.
Participant’s
Name__________________________Participant’s Signature__________________________Date___________
Participant’s
Name__________________________Participant’s Signature__________________________Date___________