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Before we can start, please ensure you read and understand this information. If you need any help with translation or understanding it - just ask any of our staff for help. 

Tandem Skydive Risk Disclosure 

This Risk Disclosure covers INFLITE Group Ltd and its subsidiaries including INFLITE Ltd and Skydive Franz Josef and Fox Glacier and its products.  

By signing this form, I acknowledge and agree that: 

If I am permitted by INFLITE Ltd to skydive, I do so at my own risk entirely, and I have no claim whatsoever against INFLITE Limited, its directors, instructors, employees, contractors or agents, in the event of injury or death to myself or damage to or loss of any of my possessions or any other loss in respect of or arising out of any activities undertaken with INFLITE Ltd, including but not limited to skydiving (Activities); 

I have no claim against the owner, operator or lessee of any aircraft, or any landowner or lessee with regard to the Health and Safety at Work Act 2015 in respect of or arising out of the Activities; 

Skydiving statistically is safer than many activities but that participating in skydiving carries risk that may result in serious injury or death, like other sport activities; 

Like all aviation activities, skydiving exposes the participant to rapid changes in ambient air pressure, which can cause discomfort in the ears and sinuses and, in very rare cases, permanent damage when participants do not equalize their ears/sinuses during descent. Participating in skydiving with a cold or flu increases the risk of pain or physical damage to the participant. Skydiving from higher altitudes also increases this risk. It is my responsibility as the participant to equalize my ears/sinuses via the Valsalva or other technique as demonstrated to me by INFLITE Ltd as required. INFLITE Ltd takes no responsibility for ear/sinus pain or damage as a result of my participating in skydiving; 

The instructor of INFLITE Ltd may refuse to allow me to skydive at any time if they considers it advisable at their absolute discretion; 

I understand that INFLITE Ltd reserves the right to suspend or cancel operations at any time for any reason at its sole discretion and I will only be rescheduled for a skydive if there is space available; 

I understand that INFLITE Ltd reserves the right to limit the altitude of my skydive should temperatures fall below the recommended minimum temperature. 

INFLITE Ltd cameras are subject to extreme conditions, and on occasions they fail to function properly. If for any reason, INFLITE Ltd is unable to produce any product ordered, I may be given the option of purchasing the portion of the product that is available at a discounted rate or will be given a full refund on the product; 

While INFLITE Ltd will always endeavor to group parties together for their skydive, this may not be possible as loading the aircraft efficiently and safely takes precedence; 

If after takeoff, you change your mind about participating in the skydive and/or you present a safety concern via the inability to follow instructions given or any other reason your instructor may deem it necessary/appropriate to abort the skydive and land you with the plane. NO refund will be given if the jump is aborted due to your or the instructors decision not to skydive once the aircraft has taken off.

If I am a visitor to New Zealand, I understand that it is strongly recommended that I have full insurance cover in place, including for medical treatment, prior to undertaking my skydive; 

MEDICAL CONDITIONS; 

I confirm I am physically fit and able to participate in this activity, and I have not been advised otherwise by a qualified medical person. 

I consent to receive any first aid that may be deemed necessary by INFLITE Group staff in the event of injury, accident or illness while undertaking the activities. 

I understand it is my responsibility to consult with a medical professional (health or otherwise) prior to undertaking this skydiving activity if I believe there is any health condition that may affect my ability to participate in this activity.  

- FOR PASSENGERS GOING TO 16,500ft AND HIGHER ONLY - 


NZPIA High Altitude Descent Course for Tandem Passenger 

Introduction 

This Course is designed to educate and inform you of: 

 1. The increased safety risks associated with descents from higher altitudes; 

 2. Management of risks, including the use of oxygen equipment; 

 3. Symptoms of hypoxia. 

Risks of High Altitude Parachuting 

Although precautions are taken to reduce the effects of increased altitude, there are added risks associated with skydiving from higher altitudes compared with lower altitudes, including: reduced oxygen (hypoxia), exposure to colder temperatures, higher speeds and the potential for added stress on your body and the equipment. 

 Skydiving from and above 13,000 feet Above Mean Sea Level (AMSL) is not recommended for anyone suffering from cold/flu, sinus discomfort or pressure, hangover, diarrhea, headache or certain injuries. 

You must inform a staff member if you suffer from any of the above. 

Management of Risks 

 The use of supplementary oxygen is required for all descents from and above 13,000 feet AMSL. Your Tandem Master will instruct you in the use of oxygen and any other requirements for your high altitude descent. 

 You will be supplied with an oxygen mask; your Tandem Master will instruct you when and how to place the supplied mask onto your face, and will ensure a secure fit. You must continue using the mask until you are told to remove it by your Tandem Master or another staff member. You must comply with your Tandem Master’s instructions at all times. 

Symptoms of Hypoxia 

 Some of the effects of hypoxia (lack of oxygen) are listed below. You must alert your Tandem Master if you experience any of these symptoms at any time in the aircraft, e.g. by tapping their leg to get their attention and pointing at the mask. 

Fatigue 

Headache 

Clumsiness 

Hyperventilation 

Blueish fingernails 

Poor memory 

Poor reasoning / judgement 

Loss of time awareness 

Emotional outbursts 

Loss of muscular control 

Euphoria (irrational sense of wellbeing) 

Dimming, blurry vision or tunnel vision 

General slowness of thought 

Fixation on unimportant tasks 

NOTE: A complication of hypoxia is that you may not be aware of the onset of symptoms. Your Tandem Master has completed a more comprehensive high altitude descent course and is trained to monitor you for any symptoms of hypoxia. 

 By signing below, you acknowledge that you understand the information in this course, and accept the increased risks of skydiving from a higher altitude. 

 Course administrator : _____ Henry Morgan NZPIA 2985 __ 

All courses must be kept on file for a minimum of three (3) years, and forwarded to the NZPIA on request. 

 

FOR NZPIA-AUTHORISED USE ONLY Rev. 0 – Oct 2018 

I have read the Risk Disclosure above and acknowledge and agree that the  Risk Disclosure applies in all regards to the Activities that I undertake with INFLITE Ltd. 

Today's Date: April 26, 2025


First Participants Name

First Name*

Last Name*

Phone*
First Participants Date of Birth*
First Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

First Participants Signature*
Second Participants Name

First Name*

Last Name*
Second Participants Date of Birth*
Second Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Third Participants Name

First Name*

Last Name*
Third Participants Date of Birth*
Third Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Fourth Participants Name

First Name*

Last Name*
Fourth Participants Date of Birth*
Fourth Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Fifth Participants Name

First Name*

Last Name*
Fifth Participants Date of Birth*
Fifth Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Sixth Participants Name

First Name*

Last Name*
Sixth Participants Date of Birth*
Sixth Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Seventh Participants Name

First Name*

Last Name*
Seventh Participants Date of Birth*
Seventh Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Eighth Participants Name

First Name*

Last Name*
Eighth Participants Date of Birth*
Eighth Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Ninth Participants Name

First Name*

Last Name*
Ninth Participants Date of Birth*
Ninth Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Tenth Participants Name

First Name*

Last Name*
Tenth Participants Date of Birth*
Tenth Participants Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

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*
Referral
How did you find out about us?*

If Found our Brochure, where?

If Website, which website?

If other, please state
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Age
Nationality-Where are you from?*

English name: (If applicable)

Medical Conditions

Do you have any medical conditions or injuries (past or present)?*
No
Yes
Have you been scuba diving within the past 24-48 hours?*
No
Yes
Have you ever dislocated a shoulder?*
No
Yes
Do you have a cold and/ or any sinus problems?*
No
Yes
Are your ears sensitive to pressure change?*
No
Yes
Are you on any medication?*
No
Yes

If you have ticked yes, please provide details

Note: Answering "yes" to any of the above questions may not prevent you from skydiving

I hereby declare that all the information contained on this form is to the best of my knowledge, true and correct in every detail.

Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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