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Skydiver's Personal Details
Firstname *

Surname *

Email *

Application Date *
Todays date

Postal Address *

City *

State *

Postcode *

Phone Number *

Mobile Number *

Contact Person *

Contact Person Phone *

Additional Details
Height *

Weight *

Age *

Gender *
Male Female

Do you have any disabilities? *
Yes No
If yes, please specify

Are you physically fit? *
Yes No
Euroa Weekend

Euroa Weekend *
Yes No

Will you use the courtesy bus?
Yes No

Accommodation?
DZ Bunkhouse (Onsite) Off Site

Skydive Booking Date

Preferred Date *

Alternative Date *

Other Information

Please provide any additional information here
e.g: Birthday present or a surprise for a friend/relative
How did you hear about us? *
Yellow Pages (book)
Yellow Pages (online)
A Friend or Family Member
Brochure
Sign
Internet
Other
Future Jumping
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I understand and agree to all terms and conditions outlined below *
The Parachute School Registration Agreement

Is parachuting dangerous? Like all outdoor sports, there is always some degree of inherent risk. However, the dangers of parachuting have decreased dramatically in recent years due to improvements in equipment and techniques. We employ rigorous safety procedures and extensive training so the risks are minimised at all times. However, we cannot eliminate all the risks so the possibility of injury or in extreme cases death must be considered.
The Parachute School reserves the right to change the venue, course content or to postpone instruction at its absolute discretion.
I accept that if I cancel my booking for any reason, the deposit and booking fee of $95 will not be refunded due to its absorption into administrative costs. However, a credit may be given for my attendance at a later course if the office is notified 1 week (7 days) prior to the initial course date.
Gift Vouchers or pre-paid jumps are only valid for 6 months from the date of purchase
Specials / Discounted Price Vouchers are valid for 3 months from date of purchase.
I accept that No Refund is applicable if my gift voucher or prepaid jump expires.
I have read, understand and accept the preceding statements in this Registration Agreement and I certify the information that has been given to the Parachute School is true and correct. I now wish to enrol as a student for the Parachute Course I designate on this form

PARENT / GUARDIAN CONSENT REQUIRED IF UNDER 18 YEARS

I hereby certify that I fully and unconditionally agree to completely indemnify the Parachute School Pty. Ltd and all its servants, agents or employees against injury, damage or any accident that may be sustained by or involving my son or daughter while participating in parachute activities no matter where.

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