Skydiving Registration Form

Jump into Summer Skydive, Hibaldstow

Saturday 17th June 2017

Full Name
ADDRESS
POSTCODE
EMAIL
PHONE
Date of Birth / Age on date of jump
Height / Weight (max 16st) / Medical conditions / Yes / No / Recent or recurring injury or on medication / Yes / No
If you have answered yes to either of the above questions, please specify here:
Jump Date / 17th June 2017 / Deadline to return this form / 17th April 2017

CHARITY SKYDIVING TERMS –

By taking part in a skydive in aid of the Stroke Associationyou are bound by the following terms and agree:

  1. To aim to meet the minimum fundraising target set by the charity, otherwise you will cover the remaining amount yourself and/or pull out of the event and refund all monies to the sponsors.
  2. To make every effort to exceed the minimum target.
  3. To send on any additional funds raised directly to the charity within the timeframe agreed. Failure to do so is considered theft.
  4. To make clear to sponsors if you are not paying for the skydive yourself and that the cost will be covered with their donations.
  5. That your contact details will be shared between the charity and the skydiving centre. They will not be passed on by us to any other third party for any reason.
  6. Skydiving is an adventure sport and participation involves a risk of injury or death and you voluntarily accept all the risks inherent
  7. That the organiser/ charities will not accept any liability or responsibility for you taking part in a skydive.

Points to remember:

• Jump and training completed in one day

• Harnessed to an experienced parachute instructor at all times

• Jump from at least 10,000 feet - just like the professionals

• Freefall down to 5,000 feet - falling through the air at 120 mph!

• Ride the parachute down to the ground - we teach you how to steer onto the drop zone

• Landing controlled by your instructor

• Certificate to prove that you have completed a ‘two-mile high’ Tandem Skydive!

What must I do to qualify for a free jump?

All you have to do is raise £375 in aid of the Stroke Associationby asking your friends and colleagues to sponsor you, using our sponsorship forms which you will find at the back of this information pack. Please do not be put off by this amount - if you ask everybody you know to sponsor you, you will find you can quite easily raise the minimum £375 sponsorship and remember, every penny you raise over the minimum will be further contributing to the Stroke Association and giving you the chance to make an exhilarating freefall parachute jump for FREE!

This is your chance to experience

120mph freefall!

If you need any information about the skydive itself or the age, weight and medical restrictions then you can contact Skydive Hibaldstow directly on telephone number 0113 250 5600 or email

Thank you for choosing to support the Stroke Association.