Indoor Skydiving Registration    

* ALL fields marked * are required

* Please select location

* Please select flight time required

*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)

*Jumper Name or Voucher Recipient (printed on voucher)

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

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

All card transactions will be shown on your statement as "Skydive Centre Ltd", All card transactions will incur a 3.5% surcharge, Refunds will be given at the discretion of the Company management.