HILL SKI CLUB MEMBERSHIP APPLICATION NAME________________________________ HOME PHONE_______________ WORK PH ___________ CELL PH__________ EMAIL _____________________ ADDRESS _______________________________CITY/ZIP__________________ MILITARY ____ GOVERNMENT EMPLOYEE ____ STATE EMPLOYEE ____ CIVILIAN _____ OTHER:_____________________ RELEASE AND INDEMNIFICATION AGREEMENT The HILL SKI CLUB, in consideration of the promises set forth in this agreement, agrees to allow the undersigned to participate in activities sponsored or arranged for by the HILL SKI CLUB and voted by its members. I, the undersigned, as a participant in activities of the Hill Ski Club, acknowledge that I voluntarily participate in such activities. I acknowledge that my participation in any activities of the Hill Ski Club is solely for my benefit. I hereby, for myself, my heirs, my successors, and assignees, release and forever discharge the United States Air Force and the HILL SKI CLUB, and any of their officers, members, employees, and volunteers, respective, together or in their individual capacities, from any and all claims, demands, actions or causes of actions of every kind and character on account of injury or loss or damage to property, arising out of, or in conjunction with the referenced activities which may result from their negligence or form any other cause. I, also expressly agree to Indemnify and to hold harmless the United States Air Force and THE HILL SKI CLUB, and any of their officers, members, employees, and volunteers, respectively, together or in their individual capacities for any liability lose or damage, from any and all claims, or suits from any person or entity, including third parties, to include but not limited to court costs and attorney fees, arising out of or in conjunction with the referenced activities, which may result from their negligence or from any other cause. The invalidity of any claims, part or provision of this agreement shall not affect the validity of the remaining portion or portions hereof. DATE:__________ _____________________________________________ PRINT YOUR NAME _____________________________________________ SIGNATURE Do you need assistance to obtain a pass for entry to Hill AFB for meeting? If you do, please let one of the Club Officers know so we can help you with this process!