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RB 23 Jumper Details
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Name
*
Contact No.
*
Exit Weight in KG
*
Date of Birth
*
Email
*
Medical Expiry
*
Layout
BS Membership Number
*
Total Jumps
*
BS Licence Number or AFF/CS if a students
*
Date of Last Jump
*
Emergency Contact Details
Emergency Contact
Name
*
Relationship
*
Phone
*
Do you have your own kit?
Yes
No
Layout
Rig 1
Javelin
Javelin
Vector
Infinity
Teardrop
Icon
Wings
SWS Fire
Mirage
Vortex
Next
Atom
Xerox
Other
Main canopy type and size
Reserve repack due
Rig 2
Javelin
Javelin
Vector
Infinity
Teardrop
Icon
Wings
SWS Fire
Mirage
Vortex
Next
Atom
Xerox
Other
Main canopy type and size
Reserve repack due
Are you within the wing loading for your canopy as per BS Form 330
Yes
No but i do have a BS Form 332
Layout
Please Upload the Following Documents (uses phone camera)
Checkboxes
BS Membership
Medical
Record of Inspection Rig 1
Record of Inspection Rig 2
File Upload
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You can upload up to 10 files.
Club Membership Agreement
Signature
*
Clear Signature
I have read and agree to the
Club Membership Agreement
GDPR Agreement
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I consent to having this website store my submitted information so they can respond to my inquiry.
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Home
BOOK NOW
GIFT VOUCHERS
Tandem Skydive
Tandem Skydiving
Charity Tandem Skydiving
Basic Requirements for Skydiving
Frequently Asked Questions
Learn to Skydive
Accelerated Freefall
Solo Static Line Jump
Terms and Conditions
Contact Us
Contact Info
Tel: 01948 841111
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