Request edit access
A License Enquiry/Application
Please complete this form to express your interest in learning to skydive with us.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
Address *
Please list Country & State/province
Phone Number *
Requested start date: *
DD/MM/YYYY (Note: Courses commence weekly on Mondays)
Which package are you interested in? *
Height *
Weight: *
Date of Birth: *
Gender: *
Is English your first language *
If English is not your native language: A quick Skype or phone call is required.
We will email you after your application is submitted to organise a time and date for a quick assessment call. YOUR SAFETY IS OUR PRIORITY. You MUST be able to understand your training and instructions in English.
Have you ever completed a tandem skydive? *
How did you find out about Skydive Oz? *
Do you have any allergies / dietary requirements? *
If yes, please describe:
Have you ever dislocated your shoulder(s)? *
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?
Why do you want to complete a skydiving course? *
Emergency Contact: *
Please include name and phone number
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:
That's it, Thank you!
We will email shortly with more information and booking options.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy