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Skydiving Information Request Form

 

Thank you for your interest in skydiving with us! Please complete this form to provide us with the necessary information to ensure your safety and enjoyment.

 

Personal Information

 

First Name

Last Name

Date of Birth

Email Address

Phone Number

 

Street Address

 

City/Suburb

State/Province

Postal/Zip Code

 

Emergency Contact Information

 

First Name

Last Name

Phone Number

Relationship

 

Skydiving Experience

 

Have you ever been skydiving before?

 

If yes, how many jumps have you completed?

1-5

6-10

10+

 

What type of skydiving experience are you interested in?

Tandem Skydive (First jump experience with a certified instructor)Tandem Skydiving (Instructor-assisted jump for beginners)

Static Line Jump (Solo jump with automatic parachute deployment)

Accelerated Freefall (AFF) Training (Solo jump with instructors guiding you)

Solo Skydiving (For licensed skydivers)

Group Skydiving (Jumping with friends or team)

Other:

 

Preferred Jump Altitude

10,000 feet

14,000 feet

18,000 feet

Other:

 

Do you have a skydiving license?

 

Please specify license type and number

 

Health and Fitness Assessment

 

Do you have any medical conditions that may affect your ability to skydive?

 

Please specify any medical conditions you have.

 

Are you currently taking any medications?

 

Please list any medications you are currently taking.

 

Do you have any of the following?

Heart conditions

High blood pressure

Epilepsy or seizures

Asthma or respiratory issues

Recent injuries or surgeries

None of the above

 

Are you pregnant or suspect you may be pregnant?

 

Do you have any physical limitations or disabilities?

 

If yes, please specify.

 

What is your weight?

Under 120 lbs

120–200 lbs

200–240 lbs

Over 240 lbs

 

Are you comfortable with high-altitude activities and adrenaline-inducing experiences?

 

Experience and Expectations

 

Why do you want to try skydiving?

Adventure and thrill-seeking

Overcoming a fear

Bucket list experience

Other:

 

What is your level of comfort with heights?

Very comfortable

Somewhat comfortable

Nervous but willing to try

Very nervous

 

Do you have any fears or concerns about skydiving?

Fear of heights

Fear of freefall

Fear of equipment failure

Other:

 

Have you ever experienced panic attacks or extreme anxiety in high-pressure situations?

 

Logistics and Preferences

 

Preferred Date for Skydiving

Preferred Time for Skydiving

Preferred Location

Nearest drop zone

Specific location (Please specify)

 

Do you require transportation to the drop zone?

 

Do you want to purchase a video or photo package of your jump?

 

How did you hear about us?

Friend or family recommendation

Social media

Website

Advertisement

 

Waiver and Agreement

 

I understand that skydiving is an inherently risky activity and I voluntarily assume all risks associated with it.

Agree

Disagree

 

I confirm that all the information provided in this form is accurate to the best of my knowledge.

Agree

Disagree

 

I agree to sign a liability waiver before participating in the skydiving activity.

Agree

Disagree

 

Participant Signature

FormTemplate Insight

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The Skydiving Inquiry Form is designed to serve multiple purposes, ensuring both the safety of the participant and the smooth operation of the skydiving center. Below is an in-depth insight into the key sections and their importance:


1. Personal Information


This section collects basic details about the participant, such as name, contact information, and emergency contact details.


Purpose:

  • To identify the participant and maintain communication.
  • To have emergency contact information readily available in case of an incident.

2. Skydiving Experience

This section assesses the participant's prior experience with skydiving and their preferences for the type of jump.


Purpose:

  • To tailor the experience based on skill level (e.g., tandem for beginners, solo for experienced jumpers).
  • To ensure the participant is matched with the appropriate training or assistance.
  • To verify if the participant has a skydiving license, which is required for certain types of jumps.

3. Health and Fitness Assessment

This is one of the most critical sections, as it evaluates the participant's physical and medical suitability for skydiving.


Purpose:

  • To identify any medical conditions or physical limitations that could pose a risk during the jump.
  • To ensure the participant meets weight and health requirements for safety reasons.
  • To determine if additional precautions or medical clearances are needed.

4. Experience and Expectations

This section explores the participant's motivations, comfort level, and concerns about skydiving.


Purpose:

  • To understand the participant's mindset and readiness for the activity.
  • To address any fears or concerns beforehand, ensuring a positive experience.
  • To provide additional support or reassurance if the participant is nervous.

5. Logistics and Preferences

This section gathers practical details about the participant's preferences for the jump.


Purpose:

  • To schedule the jump at a convenient date, time, and location.
  • To arrange additional services like transportation or video packages.
  • To track how the participant learned about the skydiving center for marketing purposes.

6. Waiver and Agreement

This section includes legal disclaimers and agreements to protect the skydiving center and inform the participant of the risks involved.


Purpose:

  • To ensure the participant acknowledges the inherent risks of skydiving.
  • To confirm that the participant has provided accurate information.
  • To obtain consent for signing a liability waiver, which is standard practice in high-risk activities.

Key Insights and Benefits of the Form

  1. Safety First: The form prioritizes safety by identifying potential health risks, physical limitations, and inexperience. This allows the skydiving center to take necessary precautions or advise against participation if needed.
  2. Personalization: By understanding the participant's experience level, preferences, and expectations, the center can offer a tailored experience that maximizes enjoyment and minimizes stress.
  3. Legal Protection: The waiver and agreement section ensures that the participant is fully informed about the risks and agrees to assume responsibility, protecting the skydiving center from liability.
  4. Efficiency: Collecting logistical details upfront helps streamline scheduling and resource allocation, ensuring a smooth experience for both the participant and the center.
  5. Participant Confidence: Addressing fears and concerns in the form helps build trust and confidence, making the participant feel more prepared and supported.

Improvements and Considerations

  • Medical Clearance: For participants with medical conditions, the form could include a section for a doctor's approval or clearance.
  • Language Options: Offering the form in multiple languages can make it more accessible to a diverse audience.
  • Follow-Up: After submission, the center could follow up with a phone call or email to address any unanswered questions or concerns.

In summary, this Skydiving Inquiry Form is a comprehensive tool that balances safety, personalization, and efficiency, ensuring a positive and secure experience for both the participant and the skydiving center.

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