Nok Flying Club Membership Application

NOK FLYING CLUB – Club Membership Application

EXCLUSION OF LIABILITY AND INDEMNITY

I/we, the undersigned, accept full responsibility for any loss I/we might suffer as a result of injury, illness, loss of life or damage or loss of property that I/we may sustain from any cause in the air or on the ground whatsoever or howsoever arising.

I/we indemnify and hold the pilot in command, the aircraft owner, Nok Flying Club , its agents, instructors, employees and associates, harmless against any such claim whether or not such injury, loss or damage can be attributed directly or indirectly to the error or negligence of whatsoever nature or degree on the part of the pilot in command, the aircraft owner, Nok Flying Club , its agents, instructors, employees and associates.

I/we record that I/we are aware of the inherent risks involved in flying, which risks include loss of damage to personal property, injury or fatality, accident or illness and weather. Knowing the inherent risks and dangers involved I/we certify that I/we are fully capable of participating in flying and have read and understood the rules and regulations concerning membership of Nok Flying Club and that I/we acknowledge that I/we are fully bound and will comply with those instructions.

This exclusion of liability and indemnity is equally binding on my/our heirs, executors and assigns. With my/our signature I/we hereby acknowledge having read, understood and accepted the terms and conditions of this indemnity.

Annual Membership 10,000 baht + 1,000 baht initial registration for new members

Annual family membership 11,000 baht + 1,000 baht initial registration
* Lapsed membership of more than 1 month will incur another 1,000baht registration fee.

I/we the undersigned have read and understood the above. I/we have read and understood Nok Flying Club’s rules and regulations and agree to abide by these conditions.

Name: ________________________________________

Address: ________________________________________________________________________________________________________________________

Tel: ____________________

Email: ______________________________________

Signature: __________________________________ Date: ______________

NOTE: A legal guardian must sign this document if the person bound thereto is under 18 years of age.

Please return completed signed form, together with 2 passport photos and appropriate fee to:

The Membership Secretary,
Nok Flying Club,
126 Moo 16,
Baan Thi,
Lamphun 51180
Thailand

OFFICE USE ONLY:

Membership fee received [temp/annual/family] Date received ___________Signature: ________

Membership Number allocated: ___________ Member card issued: __________________