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A License Enquiry/Application
Please complete this form to express your interest in learning to skydive with us.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Address *
Please list Country & State/province
Your answer
Phone Number *
Your answer
Requested start date: *
DD/MM/YYYY (Note: Courses commence weekly on Mondays)
Your answer
Height *
(cm)
Your answer
Weight: *
(kgs)
Your answer
Date of Birth: *
DD/MM/YYYY
Your answer
Gender: *
Is English your first language *
Required
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? *
Your answer
Do you have any allergies / dietary requirements? *
If yes, please describe:
Your answer
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?
Your answer
Why do you want to complete a skydiving course? *
Your answer
Emergency Contact: *
Please include name and phone number
Your answer
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/
That's it, Thank you!
We will email shortly with more information and booking options.
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