SKYDIVE SENSATIONS BOOKING FORM |
| SKYDIVERS DETAILS |
Title:
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Forename:
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Surname :
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Address including Post Code: |
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Phone - Home
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Mobile :
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Age :
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Weight :
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Height : Feet:
Inches
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Male\Female :
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If 40 or over please download and print this MEDICAL FORM solo jump, MEDICAL TANDEM take it to your Doctors and get them to sign it then bring it with you on the day. Age 18 to 39 please complete it and bring it with you on the day. |
| If 16 - 18 please download and print this MEDICAL FORM solo jump, MEDICAL TANDEM and the PARENTAL CONSENT form complete them and bring them with you on the day along with a letter from your parent or guardian giving permission for you to jump. |
Type of decent :
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Tick box if you are Jumping for a Charity |
Skydive Date |
1st choice :
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2nd choice
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| Payment Details |
| Cardholder Details |
Title:
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Forename:
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Surname :
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Address including Post Code: |
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Phone - Home
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Mobile :
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| Deposits payable from £50.00 per person for the static line course, £75.00 per person for Tandem jumps , and for level 1 AFF or £150.00 per person for the AFF course. Credit card payments a 3% charge will be made. |
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Please debit my
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card the amount of
per person per course booked |
Card number
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Issue Date
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Expiry Date
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Security No (last 3 digits on signature strip)
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I give permission for you to debit my card with the value of my purchase including the 3% surcharge |
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| Payment by Cheque |
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| Make cheques payable to SKYDIVE SENSATIONS, Send to Skydive Sensations, 47 Kingshill Road, Swindon, Wiltshire, SN1 4LH |
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Tick box, I have read and agree to the TERMS & CONDITIONS .
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