Yirra Airtime Tandem Fly Participant Registration
Welcome to Yirra Airtime! We're thrilled to offer you a memorable tandem fly experience. To ensure the adventure is tailored to your needs, please complete the form below. If you have any questions, contact us at info@yirracare.com.au or visit Yirra Airtime.  
Email *
Personal Information  
Full name *
Date of Birth *
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Email  
Phone Number  
Address  
Emergency Contact Information
Emergency Contact Name *
Relationship to Participant *
Other (please specify) 
Emergency Contact Phone Numbe   *
Physical and Medical Information 
Do you use a wheelchair or have other mobility aids?  
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Other (please specify)
Please describe any mobility aids or support requirements.  
Do you have any medical conditions we should be aware of?  
Do you take any medications that may impact your ability to participate?  
Do you require assistance with transfers (e.g., from wheelchair to equipment)?
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What is your approximate weight?  
Experience and Preferences   
Have you participated in a tandem fly or similar activity before?  
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What are your goals or expectations for this experience?  
Are there any specific accommodations or adjustments that would enhance your experience?  
Media and Consent 
Do you consent to photos or videos being taken during the event?  
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Additional Information
Is there anything else you'd like to share with us?  
Declaration
I declare that the information provided in this form is true and correct to the best of my knowledge.  
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