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.
First Name
Last Name
Date of Birth
Email Address
Phone Number
Street Address
City/Suburb
State/Province
Postal/Zip Code
First Name
Last Name
Phone Number
Relationship
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
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?
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?
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
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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
Please remove Form Template Instructions before publishing this form.
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:
2. Skydiving Experience
This section assesses the participant's prior experience with skydiving and their preferences for the type of jump.
Purpose:
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:
4. Experience and Expectations
This section explores the participant's motivations, comfort level, and concerns about skydiving.
Purpose:
5. Logistics and Preferences
This section gathers practical details about the participant's preferences for the jump.
Purpose:
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:
Key Insights and Benefits of the Form
Improvements and Considerations
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.