This privacy policy sets out how Skydive Headcorn Limited uses and protects any information that you give us.

Skydive Headcorn Limited is committed to ensuring that your privacy is protected. Should we ask you to provide certain information by which you can be identified, then you can be assured that it will only be used in accordance with this privacy statement.

Skydive Headcorn Limited may change this policy from time to time by updating this page. You should check this page from time to time to ensure that you are happy with any changes. This current policy is effective from 25th May 2018.

What we collect
We may collect the following information: name, email address, phone number, address including postcode, weight, height, date of birth and financial information for taking card payments.

What we do with the information we gather

We collect information for the purposes of communicating with you, taking payments, assessing suitability for skydiving and skydiving equipment and calculating weight and balance for the aircraft.

Any information is not shared with anyone except the British Parachute Association (BPA) who are supplied with each skydiver’s name age, gender and address.  There is a requirement to make individuals members of the BPA to provide them with third party insurance.

Internal record keeping -We may periodically need to contact you with information directly relating to the service you have requested from us such as weather information and special instructions.

Security -We are committed to ensuring that your information is secure. In order to prevent unauthorised access or disclosure we have put in place suitable physical, electronic and managerial procedures to safeguard and secure the information we collect either directly from you or online.

Links to other websites- Our website may contain links to other websites of interest. However, once you have used these links to leave our site, you should note that we do not have any control over that other website. Therefore, we cannot be responsible for the protection and privacy of any information which you provide whilst visiting such sites and such sites are not governed by this privacy statement. You should exercise caution and look at the privacy statement applicable to the website in question.

We will not sell, distribute or lease your personal information to third parties except the British Parachute Association.

Photography

It is possible that you may appear in the background of film footage taken here at Headcorn on the ground and in the aircraft.   Occasionally this footage is uploaded to websites such as youtube and facebook, however this is not done by ourselves.   If you do not want photographers in your aircraft, then we can arrange this, but it will delay your jump and incur extra costs.  Any footage would be incidental.

You may request details of personal information which we hold about you under the Data Protection Act 1998. A small fee will be payable. If you would like a copy of the information held on you, please write to Skydive Headcorn Ltd Headcorn Airfield Shenley Road Headcorn TN27 9HX.  If you believe that any information we are holding on you is incorrect or incomplete, please write to or email us jump@headcorn.com as soon as possible, at the above address.  We will promptly correct any information found to be incorrect.

This privacy policy sets out how Skydive Headcorn Limited uses and protects any information that you give us.

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1 Club membership agreement

2 Self medical declaration


Review Skydive Headcorn Privacy Policy

Skydive Headcorn Membership Agreement

I am a current member of British skydiving  and I agree to abide by their rules and those of Skydive Headcorn.  A copy of the British Skydiving operations manual and the Skydive Headcorns rules and standard operating procedures is to be found in the Skydive Headcorn office and Manifest.  

I am aware of British Skydiving's code of practice and safeguarding policy.

I will abide by the British Skydiving wing loading limits and if I am not sure I will seek advice from an instructor.

If I choose to leave my personal equipment on the premises I accept that Skydive Headcorn and Headcorn Parachute club are not responsible in the event of damage or theft.

With regards to social media I will be mindful of peoples rights to privacy and not publish defamatory remarks.  I will seek consent from indiviuals before publishing any pictures

I have read the Covid SOPs and will not attend the centre if i am displaying any symptons and leave the centre immediately if I develop any.  If I test postive for covid in the two weeks aftter my attendance at the centre I will inform the offfice immediately via email to jump@headcorn.com 

April 18, 2021

 

British Skydiving form 115e LICENSED SKYDIVER SELF-DECLARATION OF FITNESS TO SKYDIVE

Skydiving (sport parachuting) is a risk sport where there is always a small but definite risk of death, injury or worsening of a pre-existing medical condition.  This form is designed to help you identify whether you may be at greater than normal risk and may need to take qualified medical advice before jumping.  If you can answer “True” after each of the following statements, you are allowed to sign the declaration and to continue to skydive without further advice. If you are in any doubt about your ability to sign this form truthfully, please take qualified medical advice (normally your GP or a specialist treating you). Skydiving instructors are not able to give medical advice.  If you are unable to complete the declaration, it does not necessarily mean that you cannot jump but you should first seek qualified medical advice and ask your doctor to confirm your fitness to jump using Form 115F. 

I DECLARE AND CONFIRM:

I am in robust physical health and am able to exercise without restriction.  I understand that being unfit, being overweight for my height or having frailty of aging will render me more prone to injury.

I am not receiving any regular repeat medication, whether tablets, liquids, injections, patches or inhalers (contraceptive medication can be ignored for the purposes of this section).  I do not have a recurrent need to use painkillers.  I have never received prolonged courses of steroids or high dose steroid treatment in the past. 

I understand that poor vision will endanger not only myself but also other skydivers around me.  My vision is good enough to read a car number plate (made after 2001) at 20 metres.  If I need glasses or contact lenses to achieve this standard, I will always wear them when skydiving. To the best of my knowledge I do not have a restricted field of vision or tunnel vision.  I understand that persons aged over 60 (or those over 40 who have a close relative with an eye condition called glaucoma) are at risk of losing field of vision without being aware of it, but that a free NHS eye test can detect this.  To the best of my knowledge I am not colour blind and can easily distinguish between red and green lights, or if I do have this problem, I will always inform my current chief instructor.

I have no problems with hearing, or if I have such problems, I will ensure that my current chief instructor is fully aware of them.

I do not have joint, back, sciatic or neck problems and have not been prone to these in the past.  I have never had fractured or broken bones. I have NEVER dislocated a shoulder.  I have not had torn tendons, ligaments or cartilages. I do not have weakness of any limbs. I have not had partial or complete loss of any limbs. I do not have rheumatism, arthritis or arthrosis.   OR   I have had one of these conditions in the past and have already completed 100 further jumps since receiving qualified medical advice that the condition is healed or stabilised.

I do not have any form of heart disease. I have never had a heart attack, myocardial infarction, coronary disease, angina, ischaemic heart disease, heart valve problems, heart failure, irregular pulse, palpitations, chest pain on exercising, peripheral vascular disease, Hypertrophic Cardiomyopathy (HOCM), cardiac pacemaker. I do not have a family history of sudden death at an early age.   I do not have raised blood pressure or hypertension. If over 40 years of age, I understand that blood pressure problems are often “silent” and painless at first and that I should have had a blood pressure check with a qualified professional within the last five years.

I do not have any form of lung disease and can exercise vigorously without wheeze or unusual breathlessness.  I have not been diagnosed with asthma, emphysema, chronic bronchitis, Chronic Obstructive Pulmonary Disease, fibrotic lung disease, pulmonary embolism (clot on the lung), pneumothorax (collapsed lung), Cystic Fibrosis.  I do not use inhalers.  I have not had a chest infection or pneumonia within the last 3 months.

I do not have any form of colostomy, ileostomy, urostomy, catheter, PEG, reservoir or other drainage, collection, infusion, shunt or pump device.   I do not have any surgical implants or artificial joints.  OR I do have one of the aforementioned and have completed 100 jumps since receiving qualified medical advice that it is unlikely to be a significant problem when skydiving.

I have not had any surgical procedures within the last 3 months.  I have not received an organ transplant.  I do not suffer from anaemia.

I have never had a serious head injury or fractured skull.  I do not have epilepsy or fits and have not suffered from recurrent giddiness, dizziness, faints, blackouts or loss of consciousness. I do not have Cerebral Palsy, Myositis, Muscular Dystrophy, Multiple Sclerosis, Parkinsons Disease or any other progressive disease of the brain or nervous system. I have never had a stroke, transient ischaemic attack (TIA) or Vertebro-basilar Insufficiency (VBI).  I do not suffer from disabling headaches.

I do not have diabetes. I do not have any form of endocrine or hormonal disease or deficiency such as thyroid or adrenal problems.  I have never been diagnosed with osteopenia or osteoporosis (reduced bone strength).

I do not have a history of drug or alcohol dependence.

I do not have anxiety, depression or post-traumatic stress disorder and have neither needed to see a doctor nor needed any treatment for any of these in the last 2 years.  I have never been diagnosed as having psychosis, schizophrenia, manic-depressive psychosis, bipolar disease or any other serious mental illness. I do not have a history of self-harming behaviour or suicide attempts.

I do not have significant learning difficulties, behavioural problems, ADHD, mental impairment, Down’s Syndrome (Trisomy 21) or any other form of trisomy.  I do not have any problems with my memory.  I have not been diagnosed as suffering from dementia, Alzheimer’s Disease or significant cognitive impairment.

I do not have sinus or ear disease. I do not normally suffer from ear or sinus pain when flying or skydiving.  I understand that colds or sore throats may make me temporarily unfit to skydive because they increase the risk of ear or sinus pain or damage.

I have not been diagnosed as having cancer in any form.

I have not donated blood in the last 6 months, OR if I have donated within the last 6 months, I have had a subsequent blood test showing my blood count is still normal.

I am not on sick leave and am not currently certified as unfit for work.  I do not receive any form of sickness benefit, disability benefit or attendance allowance.  I have not received a terminal diagnosis.  I am not waiting for the results of any tests or investigations. I am not under medical review for any problems

To the best of my knowledge, I am not pregnant.

I do not have any form of infectious disease such as hepatitis, HIV or tuberculosis, which could pose a risk to first aiders if I was seriously injured and needed resuscitating.

If my health status changes so that this declaration is no longer valid, I will stop skydiving until I have received qualified medical advice and certification.

I understand that the purpose of this declaration is to enhance my safety and that of others around me.  I know that if I am unable to complete it truthfully, or do not understand any part of the form, I must postpone any skydiving until I have obtained qualified advice. 

I have had enough time to read (or be read) this form. I have understood it or taken appropriate advice to enable me to understand it.

 This form is valid for 3 years from the date of signature, provided there is no change in medical condition or injury.

April 18, 2021

First Skydivers Name

First Name*

Last Name*

Phone*
First Skydivers Date of Birth*
First Skydivers Information

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
First Skydivers Signature*
Second Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Third Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Fourth Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Fifth Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Sixth Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Seventh Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Eighth Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Ninth Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Tenth Skydivers Name

First Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
Skydivers 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*
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.
Parent or Guardian's Name

First Name*

Last Name*

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

Height cm *

Weight kg *

Size of main canopy *

Current number of jumps *
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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