Respecting user privacy on the Internet is of utmost importance to us. When you look for a Skydiving Center or skydiving information we wish for you to remain anonymous until you choose different. This privacy statement is designed to provide information about the privacy and data collection practices for the site: https://www.skydivewindycitychicago.com. The site is operated by Trytn under our supervision.

If you have questions or concerns regarding this statement, you should first contact our site coordinator at info@skydivewindycitychicago.com or by postal mail to:

Skydive Windy City Chicago
1300 Indiana Highway 212
Michigan City, Indiana
46360

Identifying Information. In general, you can visit the Site without telling us who you are or providing any information about yourself. In some areas of the Site, we ask you to provide information that will enable us to process an order, offer services that require registration, assist you with technical support issues or to follow up with you. Generally, Skydive Windy City Chicago requests identifying information when you:

Register on any of our web sites.
Place an order.
Provide feedback to an online survey or tell us about an idea or suggestion.
Participate in a special program, contest, or other promotional offer.
Request a special service or accommodation.
Request information or files from from us.

In these instances, Skydive Windy City Chicago will ask for your name, address, e-mail address, phone number and other appropriate information needed to provide you with these services. In any such instances, if you receive a newsletter or other  electronic mailing from us, you will always be able to personally “unsubscribe”  from future mailings at any time without dependance on, or contact with us.

What Skydive Windy City Chicago will do with your information: If you choose to give us personal information for any of the purposes above, this information is retained by Skydive Windy City Chicago and will only be used by Skydive Windy City Chicago to support your customer relationship with us. We will not add you to any mailing list or newsletter without your registration for this service. We will only contact you if further information is required from you to complete the requested service.

What others may do with your information: Skydive Windy City Chicago does not share, rent, or sell any personally identifying information provided through our Site (i.e: name, phone number, email address) to any outside organization for any reason. Skydive Windy City Chicago may use agents or contractors who will have access to your personal information to perform services for Skydive Windy City (i.e: database maintenance), however, they are required by us to keep the information confidential and may not use it for any purpose other than to carry out services for Skydive Windy City Chicago. Skydive Windy City Chicago may share aggregate information about its customers and its web site visitors to advertisers, business partners, and other third parties (i.e: we might share that our users are “x” percent PCs users and “y” percent Macintosh users), but none of this information will ever contain personal, identifying information about our users.

The Skydive Windy City Chicago's On-line Store is designed to give you options concerning the privacy of your identifying information. If you choose, you can set up an account. This will allow you to have a customized order page for express ordering and to view your purchasing history. To protect your privacy, we have designed the website(s) to include certain steps to verify your identity before granting you access or enabling you to make corrections in an account. You will always have access to this account information and can view it, update it or correct it at any time. To access your information, you will need to use a password.

When purchasing products through the our web site, the order form will also ask you to provide a mobile telephone number. We only use the telephone number to quickly resolve questions relative to an order, such as to clarify customer email addresses that are inactive, or entered incorrectly.

Third Party Links

https://skydivewindycitychicago.com may contain links to other sites. Other Internet sites will have separate privacy and data collection practices. Once you leave https://skydivewindycitychicago.com, we cannot control, and have no responsibility for, the privacy policies or data collection activities at another site.

Cookies

We often use a feature on your web browser to send your computer a “cookie”. We do not use cookies to retrieve any personal information from your computer, we only use them to learn ways to enhance our websites, and to give you better, more personalized service while using our website. You can reset your browser to refuse all cookies or indicate when a cookie is sent, however some functions of the website(s) may not function if you do so. 

Children's Privacy Protection

Skydive Windy City Chicago is sensitive to the heightened need to protect the privacy of children under the age of 13. The vast majority of the material on our web site is not intended for children and is not targeted to children under the age of 13. We do not knowingly collect data from children and, if we learn that we have received personal data from a child, we will remove and discard this information from our database.

Changes to this Policy

Skydive Windy City Chicago may from time to time revise its privacy policy. You should therefore periodically visit this page, so you are aware of any such revisions. We will not, however, use your existing information in a manner not previously disclosed. You will be advised and have the opportunity to opt out of any new use of your information.
Contacting Us: If you have any questions about our privacy policy and/or the practices of our website(s), you can write to:

Skydive Windy City Chicago
1300 Indiana Highway 212
Michigan City, IN 46360

Credit Card Security

We know customers are concerned about credit card security. We use Stripe, Chase Bank, and Paypal to process credit/debit transactions.
If you choose to use a PayPal account, your personal credit card information will not be available to Skydive Windy City Chicago.  We do not keep credit card information onsite and our team members can never see more than the "last four" of any card used online for payments.

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Skydive Windy City

2024 Tandem Skydiving Waiver




Review Skydive Windy City's Privacy Policy

MEDICAL STATEMENT AND WAIVER

This is an important legal document. Allow yourself sufficient time to carefully read and understand the entire document, because by signing it, you are agreeing to give up certain legal rights.

STATEMENT OF MEDICAL FITNESS:

I, the participant, personally represent and warrant that I have no physical or mental condition, chronic ailment ,contagious disease or condition, or injury of any nature that may prevent a safe skydive. I have never been diagnosed (without receiving appropriate medical treatment) for any of the following conditions: fainting spells or convulsions, nervous system disorders, mental illness or depression, kidney problems or related diseases, high or low blood pressure, diabetes, or any other disability or conditon that may affect my ability to participate in skydiving, parachuting, flying, or other related activities. I will bring a doctor's release for participation in skydiving if I feel any physical or mental conditions I have might affect my safety, health, or performance during my skydive. I further understand that there is no liability insurance available for any of the activities defined in this document or any /all other documents I may sign.

**If you are unsure whether you need a doctor's release or not, you should contact your doctor and get a release.  We are not doctors and cannot give medical advice to any participants.**

<<WARNING! >> <<WARNING! >> <<WARNING! >> <<WARNING! >> <<WARNING! >> <<WARNING! >> <<WARNING! >> <<WARNING! >>

SKYDIVING, PARACHUTING, FLYING AND ALL RELATED ACTIVITIES ARE DANGEROUS AND PARTICIPATION CREATES SIGNIFICANT RISK.

YOU CAN BE SERIOUSLY INJURED OR EVEN KILLED BY PARTICIPATING IN SKYDIVING, PARACHUTING, FLYING AND ALL RELATED ACTIVITIES. EACH INDIVIDUAL PARTICIPANT, REGARDLESS OF EXPERIENCE, HAS THE SOLE AND FINAL RESPONSIBILITY FOR HIS/HER OWN SAFETY. 

I will not be under the influence of alcohol in any form. I will not ingest any illegal substances in the 48 hours prior to my skydive. I will not take any prescription or non-prescription medicine that may affect my judgment or my ability to perform. I agree not to skydive under the influence of alcohol or any other drugs.

Tandem Skydiving is an activity where social distancing is not possible, all visitors (participants and spectators) may be required to wear a mask at all times when outside of their vehicle. If requested by Skydive Windy City, I will wear my mask at all times and ensure everyone in my party (spectator or jumper) wears their mask at all times. I understand that I will be in close proximity to Skydive Windy City team members and other participants not in my party.

I have read the attached Agreement, Release of Liability and Assumption of Risk. I understand that it is a legal contract binding on me. I understand the document in its entirety. I intend to be bound by the document and understand that by signing the document I waive important legal rights.

I Agree

 

TANDEM SKYDIVING TERMS AND CONDITIONS

  1. All participants must be at least 18 years old on the day of their jump. 
  2. All participants must present a government-issued photo ID (driver's license or passport) when checking in to skydive.
  3. All participants are weighed when they check-in. The absolute maximum weight is 250 pounds (in street attire). Jumpers who weigh over 210lbs are charged an extra $40.
  4. Participants may not be under the influence of any alcohol, drugs, or prescription medication that may affect their judgment or ability to perform. If we feel you are under the influence, or not in an appropriate mental state to skydive, we will not allow you to jump.
  5. If weather or any condition outside of our control prevents you from skydiving, you will be allowed to reschedule or receive a refund. If you cancel via email with at least 24 hours notice you may also request a refund.
  6. We strive to provide a safe family environment, but all children (under 18) must be constantly under direct parental supervision. You and any family/friends (spectators) with you must remain in designated areas unless escorted by dropzone or airport personnel.
  7. Please arrive no later than your scheduled time.  If you are late for your appointment, your skydive will take longer, cost significantly more, and if the schedule is full may not even be possible that day.
  8. We do not have a secure place for your valuables. You should leave all valuables in your car or with another member of your party.

I Agree

 

AGREEMENT, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK

In consideration of Skydive Windy City Chicago allowing me to utilize the facilities and participate in the skydiving, freefall, parachuting, aviation, and/or other related activities (hereinafter referred to as "activities covered by the Agreement), I agree that:

1. ASSUMPTION OF RISK. I know and understand the scope, nature, and extent of the risks involved in the activities covered by this Agreement. I understand these risks include, but are not limited to: equipment malfunction and/or failure to function; defective and/or negligent design and/or manufacture of equipment; improper and/or negligent parachute packing and/or assembly; improper and/or negligent operation and/or use of the equipment; aircraft malfunction and/or negligent aircraft operation; carelessness and/or negligent instruction and/or supervision. I voluntarily, freely and expressly choose to incur all risks associated with the activities covered by this Agreement, understanding that those risks may include personal injury, damage to property, and/or death.

I Agree

2. EXEMPTION(S) AND RELEASE FROM LIABILITY. I exempt and release the following persons, corporations, and organizations: Sky Sports, Inc., doing business as Skydive Windy City, any and all equipment manufacturers, vendors, suppliers, repair facilities or repair persons, any and all aircraft owners, any and all pilots with whom it contracts for flying services; the United States Parachute Association (USPA); the City of Michigan City Indiana, the Michigan City Municipal Airport, Michigan City Board of Aviation Commissioners (BOAC): and including all of each person's, corporations, and organization's officers, agents, servants, employees, representatives, lessors; (hereinafter collectively referred to as Releasees), from any and all liability, claims, demands or actions or causes of action whatsoever arising out of any damage, loss or injury to me or my property, or my death, while upon the premises or aircraft or while participating in any of the activities covered by this Agreement, whether resulting from the negligence and/or other fault, either active or passive, of any of Releasees, or from any other cause.

I Agree

3. COVENANTS NOT TO SUE. I agree never to institute any suit or action at law or otherwise against any of Releasees, or to initiate or assist in the prosecution of any claim for damages or cause of action which I may have by reason of injury to my person or property, or my death, arising from the activities covered by this Agreement, whether caused by the negligence and/or other fault, either active or passive, of any of Releasees, or from any other cause. I further agree that my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf, shall not institute any suit or action at law or otherwise against any of Releasees, nor shall they initiate or assist the prosecution of any claim for damages or cause of action which I, my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf may have by reason of injury to my person or property, or my death, arising from activities covered by this Agreement, whether caused by the negligence and for other fault, either active or passive, of any of Releasees, or from any other cause. I hereby so instruct my heirs, executors, administrators, personal representatives and/or anyone else claiming on my behalf. Should any such suit or action at law or otherwise be instituted against any of Releasees, I agree that such Releasees shall be entitled to recover attorneys' fees and costs incurred in defense of such suit or action, including any appeals there from.

I Agree

4. INDEMNITY AGAINST THIRD PARTY CLAIMS. I will indemnify, save and hold harmless Releasees from any and all losses, claims, actions, or proceedings of every kind and character, including attorney's fees and expenses, which may be presented or initiated by any other persons or organizations and which arise directly or indirectly from my participation in the activities covered by this Agreement, whether resulting from the negligence and/or other fault, either active or passive, of any of Releasees or from any other cause.

I Agree

5. VALIDITY OF WAIVER. I understand and agree that if I institute, or anyone on my behalf institutes, any suit or action at law or any claim for damages or cause of action against any of Releasees because of injury to my person or property, or my death, due to the activities covered by this Agreement, this Agreement can and will be used as evidence in court, and that agreements like this one have been upheld in courts in similar circumstances.

I Agree

6. REPRESENTATIONS AND WARRANTIES. I represent and warrant that (a) I have no physical infirmity, except those listed below, am not under treatment for any other physical infirmity or chronic ailment or injury of any nature, and have never been treated for any of the following: cardiac or pulmonary conditions or disease, diabetes, fainting spells or convulsions, nervous disorder, kidney or related diseases, high or low blood pressure, (b) I am not under any medication of any kind at the present time that may affect my judgment or limit my ability to perform, and (c) If I am prescribed corrective lenses, I agree to wear them during my intentional parachute jump.

I Agree

7. APPLICABLE LAW/WAIVER OF JURY TRIAL/VENUE/HEADINGS. I agree that the laws of the State of Indiana shall apply to issues involving the construction, interpretation, and validity of this Agreement and that Indiana law shall govern any dispute between the parties arising from the activities contemplated by this Agreement. Should this Agreement be violated and suit be brought against any of Releasees, my right to a jury trial is waived, and LaPorte County, Indiana shall be the venue for any such suit. I agree that the headings and subheadings used throughout this Agreement are for convenience only and have no significance in the interpretation of the body of this Agreement.

I Agree

8. SEVERABILITY. I agree that should one or more provisions in this Agreement be judicially determined to be unenforceable, the remaining provisions shall continue to be binding and enforceable against me.

I Agree

9. LIFT RATES / PHOTO RIGHTS I agree to pay the published rates as posted on the website and/or at office for each flight. I agree to allow all photos and/or video taken while at Skydive Windy City to be used by any of Releasees. I also agree that Skydive Windy City is open to the public, and any persons on the premises at the time of my skydive may view a live feed from the airplane, watch me skydive, and take personal pictures and/or video that may include me.

I Agree

10. CONTINUATION OF OBLIGATIONS. I agree and acknowledge that the terms and conditions of this Agreement shall continue in full force and effect now and in the future at all times during which I participate, either directly or indirectly, in the activities covered by this Agreement, and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. This Agreement supersedes and replaces any prior such agreement I have signed.

I Agree

11. ACKNOWLEDGEMENT. I hereby acknowledge that I have read all of the provisions above and fully understand the terms and conditions expressed therein and agree to be bound by such terms and conditions.

I Agree

UNINSURED UNITED PARACHUTE TECHNOLOGIES TANDEM PARACHUTE JUMPER AGREEMENT

In consideration of the Uninsured United Parachute Technologies doing business as United Parachute Technology and Sky Sports, Inc. doing business as Skydive Windy City, hereinafter referred to as Corporation, allowing me the privilege of utilizing a dual-harness, dual container parachute pack assembly (also known as a tandem parachute system), designed, manufactured and/or assembled by the Uninsured United Parachute Technologies, Inc. for the purpose of performing an intentional parachute jump, I agree that:

I Agree

1) Representations, Warranties, & Assumptions of Risk: I understand that parachute jumping will expose me to the risk of personal injury, property damage and/or death. I understand that the success of my jump is dependent upon the perfect functioning of the airplane from which I intend to jump and the parachute system, and that neither the airplane nor the parachute system can be guaranteed to function perfectly. I understand that the airplane and the parachute system are both subject to mechanical malfunctions as well as operator error. I freely, voluntarily and expressly choose to assume all risks inherent in parachute jumping, including, but not limited to, risks of equipment malfunction and/or failure to function, including those which may result from some defect in design, assembly, and/or manufacture as well as those risks arising from improper an/or negligent operation and/or use of the equipment, for and in consideration of the thrill of participation in this activity, understanding full well that those risks may include personal injury, property damage, and/or death.

I Agree

2) Exemption and Release from Liability: I exempt and release the following persons and organizations:

I Agree

(A) The Corporations and their officers, directors, agents, servants, employees, shareholders, and other representatives;

I Agree

(B) Manufacturers, designers, and suppliers of component equipment incorporated in the dual-harness, dual -container parachute pack assembly to which I will be attached during my intentional parachute jump;

I Agree

(C) Owners, suppliers, and operators of aircraft from which I am to make my intentional parachute jump;

I Agree

(D) The owner of the dual-harness, dual-container parachute pack assembly, and any of its components, to which I will be attached during my intentional parachute jump;

I Agree

(E) The operator (parachutist in command) of the dual-harness, dual-container parachute pack assembly to which I will be attached during my intentional parachute jump;

I Agree

(F) If I am making my intentional parachute jump at or near a parachuting/skydiving facility, the owners and operators of that facility, as well as their officers, directors, agents, servants, employees, shareholders, and other representatives;

I Agree

(G) The owners and lessees, if any, of land upon and from which the parachute jumping and related aircraft operations are conducted; and;

I Agree

(H) The Toll-Free Skydiving Network, Inc., Uninsured (800) Skydive Leasing Corp., Uninsured (888) Skydive Leasing Corp., Uninsured (877) Skydive Leasing Corp., 1-800 FREEFALL, and any and all other skydiving referral service business entities, and/ or owners of fictitious name entities which I may have used in locating and/or deciding upon a parachuting/skydiving facility or other location at which to perform an intentional parachute jump.

I Agree

(I) Any other person and/or organization which is or may be liable for any loss or injury to me and or my property, or my death, arising out of my participation in any of the activities covered by this Agreement (as defined below);

I Agree

From any and all liability, claims, demands or actions or causes of action whatsoever arising out of any damage, loss or injury to me or my property, or my death, whether occurring while I am training and/or preparing for my intentional parachute jump, while I am present in aircraft from which the jump is to be made, while I am making my intentional parachute jump, or while I am engaged in related activities (hereafter referred to as activities covered by this Agreement), whether such loss, damage, injury, or death results from the negligence and/or other fault, either active or passive of any of the persons and/or organizations described in paragraphs 2(A)-(I) above, or from any other cause.

I Agree

3) Covenant Not to Sue: I agree never to institute any suit or action at law or otherwise against any of the organizations and/ or persons described in paragraph 2(A) through (I) above, or to initiate or assist in the prosecution of any claim for damages or cause of action which I may have by reason of injury to my person or property, or my death, arising from the activities covered by this Agreement, whether caused by the negligence and/or fault, either active or passive, of any of the organizations and/or persons described in paragraph 2(A) through (I) above, or from any other cause. I further expressly agree that I will never raise any claim against any of the organizations and/or persons described in paragraph 2(A) through (I) above for product liability, failure to warn, negligence, breach of warranty, breach of contract, or strict liability, regardless of whether my claims for damages or injuries are alleged to result from the fault or negligence of the parties released. I further agree that my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf, shall not institute any suit or action at law or otherwise against any of the organizations and/or persons described in paragraph 2(A) through (I) above, nor shall they initiate or assist the prosecution of any claim for damages of cause of action which I, my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf may have by reason of injury to my person or property, or my death arises from the activities covered by this Agreement, whether caused by the negligence an/or fault, either active or passive, of any of the organizations and/or persons described in paragraph 2(A) through (I) above, or from any other cause, I hereby so instruct my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. Should any suit or action at law or otherwise be instituted in violation of this Agreement against any of the organizations and/or persons described in paragraph 2(A) through (I) above, I agree that such organizations and/or persons shall be entitled to recover, in addition to any other damages which may be incurred, reasonable attorneys fees and costs incurred in defense of such suit or action, including any appeals therefrom.

I Agree

4) Indemnity Against Claims: I will indemnify, defend, save and hold harmless the organizations and/or persons described in paragraph 2(A) through (I) above from any and all losses, claims, actions or proceedings of every kind and character, including attorneys fees and expenses, which may be presented or initiated by any persons and/or organizations and which arise directly or indirectly from my participation in the activities covered by the Agreement, whether resulting from the negligence and/or other fault, either active or passive, or any of the organizations and/or persons described in paragraph 2(A) through (I) above, or from any other cause.

I Agree

5) Validity of Waiver: I understand that if I institute or anyone on my behalf institutes, any suit or action at law or any claim for damages or cause of action against any of the organizations and/ or persons described in paragraph 2(A) through (I) above because of injury to my person or property, or my death, due to the activities covered by this Agreement, this Agreement can and will be used in court, and that such agreements have been upheld in courts in similar circumstances.

I Agree

6) Representations and Warranties as to Medical Condition: I represent and warrant that (a) I have no physical infirmity, except those listed below, am not under treatment for any other physical infirmity or chronic ailment or injury of any nature, and have never been treated for any other of the following: cardiac or pulmonary conditions or diseases, diabetes, fainting spells or convulsions, nervous disorder, kidney or related diseases, high or low blood pressure; (b) I am not under any medication of any kind at the present time that may affect my judgment or limit my ability to perform; and (c) If I am prescribed corrective lenses, I agree to wear them during my intentional parachute jump.

I Agree

7) Waiver of Jury Trial/Applicable Law/Venue/Headings: I agree that the law of the State of Florida shall apply to issues involving the construction, interpretation, and validity of this Agreement, and that Florida law shall govern any dispute between the parties arising from the activities covered by this Agreement. In the event this Agreement is violated and suit is brought against any of the organizations and/or persons described in paragraph 2(A) through (I) above, I waive my right to a jury trial, and agree that Volusia County, Florida shall be the sole venue for any suit or action arising from the activities covered by this Agreement. I agree that the headings and sub-headings used throughout this Agreement are for convenience only and have no significance in the interpretation of the body of this Agreement.

I Agree

8) Severability/Multiple Waivers: I agree that should one or more provisions in this Agreement be judicially determined to be unenforceable, the remaining provisions shall continue to be binding and enforceable against me. If I have executed any other agreement containing provisions relating to the exemption and/or release from liability and/or covenant not to sue in connection with the activities covered by this Agreement, I agree that the agreement, which provides the most protection from liability and/or suit to the Uninsured United Parachute Technologies, Inc, shall be enforceable against me by the Uninsured United Parachute Technologies

I Agree

9) Continuation of Obligations: I agree and acknowledge that the terms and conditions of this Agreement shall continue in force and effect now and in the future at all times during which I participate in the activities covered by this Agreement, and shall be binding upon my heirs, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. This Agreement supersedes and replaces any prior such agreement I have signed.

I Agree

10) Viewing of Video: I have viewed and fully understand the Tandem Vector Waiver video prior to making my tandem skydive (the video you watched at the beginning of this waiver).

I Agree

I freely and voluntarily agree to all of the above by signing this contract with Skydive Windy City of Michigan City, Indiana

I Agree









First Tandem Student Name

First Name*

Last Name*

Phone*
First Tandem Student Date of Birth*
First Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










First Tandem Student Signature*
Second Tandem Student Name

First Name*

Last Name*
Second Tandem Student Date of Birth*
Second Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Third Tandem Student Name

First Name*

Last Name*
Third Tandem Student Date of Birth*
Third Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Fourth Tandem Student Name

First Name*

Last Name*
Fourth Tandem Student Date of Birth*
Fourth Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Fifth Tandem Student Name

First Name*

Last Name*
Fifth Tandem Student Date of Birth*
Fifth Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Sixth Tandem Student Name

First Name*

Last Name*
Sixth Tandem Student Date of Birth*
Sixth Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Seventh Tandem Student Name

First Name*

Last Name*
Seventh Tandem Student Date of Birth*
Seventh Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Eighth Tandem Student Name

First Name*

Last Name*
Eighth Tandem Student Date of Birth*
Eighth Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Ninth Tandem Student Name

First Name*

Last Name*
Ninth Tandem Student Date of Birth*
Ninth Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










Tenth Tandem Student Name

First Name*

Last Name*
Tenth Tandem Student Date of Birth*
Tenth Tandem Student height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










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*
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*
Special Statements about Infirmities or Exceptions
Statement # 1*
A: I will be at least 18 years old on the day of my jump
B: I am less than 18 years old and cannot skydive.
Statement # 3*
A: I DO NOT have any untreated/unmanaged physical or mental conditions that may prevent a safe skydive. All conditions I have are being treated by a medical professional and my participation in skydiving has been approved by my doctor.
B: I have untreated/unmanaged physical or mental conditions that I want Skydive Windy City to know about and I have listed them below.
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 height and weight

6'0" *

145 *

Email address: Enter a valid email address below (you are required to respond to confirmation email). This email address will be used to deliver your video and/or pictures, so make sure you have access to it. Please be careful, any changes to or errors in email address may result in extra charges (i.e. changing address, misspelling)

We will never sell or distribute your email address. 










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. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. A fee may be charged for such copy but 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.<br> An email will be sent to the address you provided after completing this waiver. You must verify that email address by following instructions contained in that email.


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