Skydrive Registration Form

Pre-Skydive Registration Form

Name*
First Last
Email*
Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Age*
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Emergency Contact Name*
First Last
Emergency Contact Phone*
Do you have any health problems or disabilities? Please specify*
Consent*
- I accept
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a participant, any false statements, omissions, or other misrepresentations made by me on this application may result in cancellation. I understand I am fit and healthy to take part. I happy to sign up for SMT & any 3rd parties for events, services, and updates. I understand that my details will be kept on record and are safe.
£150 Preregistration Fee*
Price: £ 150.00
Total
£ 0.00
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.