Accelerated Freefall Skydiving Registration    

* ALL fields marked * are required

* Course Required

* PLEASE SELECT!:

   

*Purchasers Name

+If purchasing a gift voucher you must enter a jumper name and address further down this form

+ please insert delivery address

* Country

* Postcode

* Telephone

* e-mail

Preferred dates (if voucher or gift pack please type voucher or gift pack)

Check this box if Purchaser Name + Address and Jumper Name + Address are the same.

 

   

*Jumper Name or Voucher Recipient (printed on voucher)

* Jumpers Address - (if known, if not enter own)

Jumpers Date of Birth (dd/mm/yy)

Jumpers Height (in feet and inches)

Jumpers Approximate Weight in stones)

*I confirm that i have read and accept the terms & conditions

 

All card transactions will be shown on your statement as "Skydive Centre Ltd", Refunds will be given at the discretion of the Company management. You need to allow 2 days for this course