RELEASE AND INDEMNIFICATION

In consideration for permission from Mistport, LLC ("Mistport") for the use or attempted use of its private airport, Mistwood, FAA Identifier 24M0, for approaching, landing, parking or departing, and parking privately owned aircraft, or for any other use, I hereby release Mistport, its agents and employees, and agree to hold them harmless from all loss or damage of any nature incurred by me or others while on the airport property or arising out of my use or attempted use of the airport property or approaches thereto.

I acknowledge that I am using the airport without compensating Mistport, and that it has allowed me to use the airport one single time (one cycle) at my request and for my convenience. I recognize that the airport may not be maintained in a condition suitable for my use and I knowingly accept all the risks thereof.

I agree to fully indemnify Mistport, its agents and employees on account of any loss or claims of any nature whatsoever which they may suffer as a result of my use or attempted use of the airport.

I further agree that the permission for use of the airport includes a single landing on the_________ day of ________, 2021 and a departure on the _________ day of ________, 2021. I further understand that this permission may be revoked at any time for any reason.

The permission granted herein is only valid upon actual receipt and acceptance of this fully executed RELEASE AND INDEMNIFICATION by

Mistport, LLC

2404 Northline Industrial Drive

St. Louis, MO 63043

Dated this __________day of__________, 2021.

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(Signature)

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(Print Name)

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(Address)

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(City, State, Zip)

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(Phone Number)

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(Airplane Make, Model and N Number)

SUGGESTION TO GUESTS

It is suggested to the guests of Mistport that as a token of appreciation for the use of the Airport by them that a gift be made to the Dogwood Animal Shelter of Camdenton, MO. A gift in the amount of $50.00 would be graciously accepted and beneficial to the area. Thank you for your consideration.

Please make your check payable to Dogwood Animal Shelter and mail with the fully executed RELEASE AND INDEMNIFICATION form to:

Mistport, LLC

2404 Northline Ind. Blvd.

St. Louis, MO 63043

All contributions are tax deductible.

Thank You!

MISTPORT, LLC