Indoor Skydiving Registration Form
Determined2heal and SPINALpedia are sponsoring a FREE indoor skydiving adventure for the paralysis community!

When: Saturday, August 12th from 5:00 PM-8:00 PM

5:00 PM Pre-Flight Training Session
6:00 PM Flight Time
7:00 PM Pizza, Soda and Water
8:00 PM Event Ends

Where: iFLY in Virginia Beach! (2412 Pacific Ave, Virginia Beach, VA 23451)

This event is FREE for ALL PARTICIPANTS. (First 24 paralyzed participants.)

There will be free pizza and drinks for participants, family and friends.

Email address
First Name
Your answer
Last Name
Your answer
Your answer
Your answer
Zip Code
Your answer
Type of Paralysis
Level of Paralysis
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms