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High Energy Sports Inc

REGISTRATION INFORMATION

1. OWNERS NAME _______________________________

2. ADDRESS_____________________________________

3. CITY, STATE, ZIP_______________________________

4. COUNTRY_____________________________________

5. TELEPHONE (home)_____________________

7. CANOPY MODEL__________________

8. DATE OF PURCHASE_______________

9. SERIAL NUMBER__________________

10. DEALERS NAME_______________________________

11. DEALERS ADDRESS____________________________

12. CITY, STATE, ZIP_______________________________

I have received, read, and understand all aspects of this product and the technical information

provided. By using the 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 High Energy Sports and any

officers, agents and assigns thereof from any liabilities for injuries or damages arising from

such use.

The parachute was installed and packed by a qualified and competent rigger or technician.

Any deviation from the manufacturers instructions concerning the installation, 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.

Date________________________

Owner's Signature________________________________

(Return within 14 days of date of purchase)

(work)______________________

Return to:

High Energy Sports Inc.

Parachute Registration

1081 Shepard Street Unit A

Anaheim, CA 92806

714-632-3323