Amos Skydive 2017
Come and join Team Amos for a Skydive on Sunday 27 August in Fife, Scotland* or Friday 8 September in Salisbury.*
(*Weather permitting, please be prepared to jump on an alternative date, we will arrange this with you and the Dive centre.)

Please complete all sections of the form - each participant needs to complete a form.
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Essential Information *
Click  to see the essential information and terms and conditions for this challenge.  Please read this carefully before proceeding to complete the booking form.
Required
My Skydive loation preference *
Your personal details
Title *
Surname *
First name *
Middle name(s)
Leave blank if none
Gender *
Date of birth *
MM
/
DD
/
YYYY
Age *
If you are over the age of 40 you will need a doctor to sign/stamp a fitness form which we will email to you.  You will keep this and take with you on your Dive date!
Height *
(In feet and inches)
Weight *
(In stones)
Your contact details
Email address *
Contact phone number *
(UK mobile preferred) (format xxxxx xxxxxx)
Home address *
Post Code *
Emergency contact details
Name of person to contact in emergency *
Your relationship with them *
Their email address *
Their contact number *
UK mobile preferred
Other information
Skydive experience *
Have you ever done a sky dive before ? when, where ?
How did you hear about Amos Trust ?
Health *
Please let us know about on-going health or mobility issues that the leaders should be aware of- such as asthma, diabetes, ect
Fundraising *
We ask that our Skydivers raise a minimum of £500 in sponsorship. We would like you to raise as much as you can for your Skydive, however, we do require that you have raised your minimum a month ahead of skydive date as this is when we will pay for your skydive.  Amos Trust will help you with your fundraising and provide you with stories from our partners and resources you may need.  Please let us know how you think you will raise this?
Is there anything else you would like to tell us ?
Now please press "Submit" to send us your form
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