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Skydive Oz 'A' Licence Questionnaire
Please complete to apply for your 'A'-Licence Course or AFF Camp Course
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Occupation *
Your answer
Address *
Please list Country & State/province
Your answer
Phone Number *
Your answer
Requested start date: *
DD/MM/2017
Your answer
Height *
(cm)
Your answer
Weight: *
(kgs)
Your answer
Date of Birth: *
DD/MM/YYYY
Your answer
Gender: *
Have you ever completed a tandem skydive? *
How did you find out about Skydive Oz? *
Your answer
Do you have any allergies or dietary requirements? *
If yes, please describe:
Your answer
Do you have any medical conditions or disabilities which may require consideration when completing the Skydive course? *
Please state whether you have ever had any shoulder injury – breaks, dislocations, double jointed or other - how many times and when?
Your answer
If you have dislocated your shoulder(s), have you had surgery to prevent further dislocations?
Why do you want to complete a skydiving course? *
Your answer
How would you describe your physical fitness? *
Do you have ambulance cover? *
Emergency Contact: *
Please include name and phone number
Your answer
Are you fluent in speaking English?
For your own safety, all students are required to be fluent in the English language or have proof of an understanding of the english language (IELTS 5.5 or equivalent.) You can find IELTS near you by visiting http://www.ielts.org/test_centre_search/search_results.aspx
Are you Interested in financing your course?
Skydive Oz has teamed up with Zipmoney so you can buy now and pay later. To find out more visit: http://www.skydiveoz.com.au/skydive-now-pay-later/
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