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Skydiving Inquiry 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 Name

 

Emergency Contact Phone Number

 

Skydiving Experience

 

Have you ever skydived before?

 

If yes, how many jumps have you made?

 

What type of skydiving experience are you interested in?

Tandem Skydive (First jump experience with a certified instructor)

Accelerated Freefall (AFF) Course (Learn to skydive solo)

Static Line Jump (Parachute opens automatically)

Experienced Skydiver (Licensed skydiver with own equipment)

Other:

 

Please provide license number and issuing authority

 

Preferred Date and Time

 

Preferred Date(s)

 

First Choice

Second Choice

Preferred Time(s)

 

First Choice

First Choice

Weight and Height

 

Weight

Height

Medical Information

 

Please answer the following questions honestly and to the best of your ability. This information is confidential and will be used to assess your suitability for skydiving.

 

Do you have any of the following conditions?

Heart conditions (e.g., heart attack, angina, bypass surgery)

Lung conditions (e.g., asthma, emphysema, collapsed lung)

Neurological conditions (e.g., epilepsy, seizures, head injuries)

Back, neck, or spinal injuries

Bone, joint, or muscle problems (e.g., fractures, dislocations, arthritis)

High or low blood pressure

Diabetes

Pregnancy

Recent surgery (within the last 6 months)

Eye conditions (e.g., glaucoma, detached retina)

Mental health conditions

 

Any other medical condition that may affect your ability to skydive? (Please specify)

 

Are you currently taking any medications?

 

If yes, please list them.

 

Have you ever been advised against participating in activities involving heights or rapid changes in pressure?

 

Do you consume alcohol or drugs?

 

If yes, please provide details.

 

Declaration and Waiver

 

I declare that the information provided in this form is true and accurate to the best of my knowledge. I understand that 1 skydiving is an inherently risky activity and that I am responsible for understanding and accepting these risks. I will carefully read and sign the waiver and release of liability before participating in any skydiving activities.

 

I understand that the final decision regarding my suitability for skydiving rests with the certified instructors and staff of [Skydiving Company Name]. They reserve the right to refuse service to anyone deemed unfit for participation.

 

Questions or Comments

 

Please feel free to ask any questions you may have about skydiving or our services.

Inquiry Template Insight

Please remove Inquiry Template Instructions before publishing this form.


This skydiving inquiry form is designed to gather essential information from potential customers before they book a skydive. It serves several key purposes:


  • Safety: The detailed medical questions are crucial for assessing a person's suitability for skydiving. Certain medical conditions can significantly increase the risk of injury during a jump. Honest answers are vital for the individual's safety and the safety of the team. Questions about weight and height are also relevant for safety and equipment considerations.
  • Customer Information: Basic personal information (name, contact details, etc.) is necessary for booking and communication. Knowing the customer's experience level (first-time jumper, experienced, etc.) helps the skydiving center tailor the experience and allocate appropriate resources.
  • Logistics: Gathering information about preferred dates and times helps the skydiving center plan their schedule and staffing. It also allows them to gauge the customer's flexibility, making it easier to accommodate their requests.
  • Marketing: Asking how the customer heard about the company helps the skydiving center understand the effectiveness of their marketing strategies.
  • Legal Protection: The declaration and waiver section is a preliminary step towards a formal liability waiver. It emphasizes the inherent risks of skydiving and reinforces the customer's responsibility for understanding and accepting those risks. While this form itself isn't a legal waiver, it sets the stage for the customer to formally acknowledge the risks later.
  • Customer Service: Providing a space for questions and comments allows potential customers to address any concerns they may have, improving customer service and potentially leading to more bookings.
  • Tailoring the Experience: Asking about the type of skydive the person is interested in (tandem, AFF, etc.) allows the skydiving center to provide relevant information and pricing. This ensures the customer gets the experience they are looking for.

In short, this inquiry form is a crucial first step in the process of booking a skydive. It balances the need for gathering essential information for safety and logistical purposes with providing a user-friendly way for potential customers to express their interest and ask questions. It protects the skydiving center while also ensuring a positive experience for the customer.


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