Your name *

First

Last

Phone

Email *

Date of Birth

Height in CM

Weight in KG

Which Date would you like to jump

Saturday 21st May at 2pm
Saturday 18th June at 4pm
Saturday 30th July at 8am

Anyone over the age of 70 will need to arrange an assessment at Skydive Tilstock, please call the office on 01948 841111 to book.
Anyone over 70 will also require a Doctors Certificate completed by their GP (Opens in new tab).
Height and weight limits for tandem skydives can be found here: height and weight limits (Opens in new tab)

Please read carefully and tick the box if you're happy to proceed *

I CONFIRM THAT: I have read the Terms and Conditions for skydiving given on the site and that I am happy for my details to be used to contact me regarding my booking.
I CONFIRM THAT: I am within the height and weight limits and that I will be weighed prior to the course and if I am over the limit I will not be allowed to jump.
I UNDERSTAND THAT: a non-refundable deposit of £50.00 deposit is payable when I book.
**All payments are made directly and securely through Stripe. Skydive Tilstock does not see or store your credit card details.**

£50.00 deposit when you book your jump *

Price: £ 50.00

Total

£ 0.00

Debit/Credit Card Details *

Card

Name on Card

Nightingale House Hospice Tandem Skydive 9th & 23rd October