Liability And Release

COVID WAIVER

Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), our business is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfecting procedures in compliance with CDC guidance. Symptoms of COVID-19 include:
• Fever
• Fatigue
• Dry Cough
• Difficulty Breathing
I agree to the following:
• I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.

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• I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days.

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• I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days.

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• I affirm that I, as well as all household members, have not traveled outside of the country or to any city considered to be a “hot spot” for COVID-19 infections within the past 30-days.

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• I understand that The Dropzone cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

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By signing below, I agree to each statement above and release The Dropzone from any and all liability for unintentional
exposure or harm due to COVID-19.

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August 2, 2025

Please select who will be participating...

Adult Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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First Participant's Name

First Name*

Middle Name

Last Name*

Phone*

First Participant's Date of Birth*

Date of Birth

First Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

First Participant's Signature*

Type Signature

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Second Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Second Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Third Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Third Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Fourth Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Fourth Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Fifth Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Fifth Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Sixth Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Sixth Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Seventh Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Seventh Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Eighth Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Eighth Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Ninth Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Ninth Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Tenth Participant's Name

First Name*

Middle Name

Last Name*

Participant's Date of Birth*

Date of Birth

Tenth Participant's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Participant's Address

Address Line 1:*

Street address, P.O. box, company name, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:*

City:*

State/Province:*

Zip/Postal:*

Parent or Guardian's Email Address

Email*

Confirm Email*

Check to receive information, news, and discounts by e-mail.

Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*

LICENSED SKYDIVERS ONLY

U.S.P.A Member Number

U.S.P.A License Number

U.S.P.A Expiry Date

Reserve Repack Date

# of Jumps

Date of Last Jump

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Date of Birth

Parent or Guardian's Information

weight *

height *

jumper type*

List any infirmity, disability or physical or mental disorder, IF NONE, state "none" *

Parent or Guardian's Signature*

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