Wild Billy Airstrip Liability Release Form
All pilots requesting permission to fly into the Wild Billy airstrip must first read the Safety Briefing and complete this liability release form before being given permission to use the airstrip.  The completion of this form is only required once but we require all pilots to request permission for each subsequent visit.  See the Safety Briefing or our website Contact page for permission contact information. This is an unmaintained airstrip and actual conditions may vary from the information given in the Safety Briefing. It is the pilots responsibility to verify the accuracy of this information and the condition of the airstrip prior to arrival.
Sign in to Google to save your progress. Learn more
The User named below, in consideration of permission being granted by Wild Billy Lake, LLC to use the Wild Billy Airstrip, agrees to the following:
The User forever releases Wild Billy Lake, LLC from every liability arising out of the User's use of the Wild Billy Airstrip.  The User shall be liable for any property damage and/or personal injury caused by the User, the User's guests, agents, or representatives.  Use of the Wild Billy Airstrip is at the User's own risk, and User shall hold Wild Billy Lake, LLC, its members, employees, representatives, and agents harmless from any and all loss, cost, claim, injury, damage, and all liability, sustained or incurred by any person as a result of the User's operation of an aircraft on or about the Wild Billy Airstrip.  Wild Billy Lake, LLC shall not be responsible or liable to User, the User's guests, agents, or representatives for loss or damage to any of the User's property, including the User's aircraft and its contents.  
Liability Release *
Required
Aircraft liability insurance is required. *
Required
The Wild Billy Airstrip has been built as a convenience for pilot guests of Wild Billy Lake, LLC.  To preserve the privacy of other guests enjoying the lake, pilots must request permission for each visit to the airstrip. *
Required
I have read the Wild Billy Airstrip Safety Briefing and acknowledge that it is an unmaintained dirt airstrip and that actual conditions may vary dramatically from the information given in the safety briefing. *
Required
Your name *
Address *
Phone number *
Email address *
Type of aircraft and N number *
Signature.  Typing your name here is the electronic equivalent to your signature *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report