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Final Registration

Once completed, this form needs to be printed and signed in the space provided below by the NAC and emailed

by 05.08.2024 to

info@skydivepretoria.com

First Responsible Person Name

First Name*

Last Name*
First Responsible Person Age Acknowledgment*
First Responsible Person Date of Birth*
I certify that I am 18 years of age or older
First Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
First Responsible Person Signature*
Second Responsible Person Name

First Name*

Last Name*
Second Responsible Person Date of Birth*
Second Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Third Responsible Person Name

First Name*

Last Name*
Third Responsible Person Date of Birth*
Third Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Fourth Responsible Person Name

First Name*

Last Name*
Fourth Responsible Person Date of Birth*
Fourth Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Fifth Responsible Person Name

First Name*

Last Name*
Fifth Responsible Person Date of Birth*
Fifth Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Sixth Responsible Person Name

First Name*

Last Name*
Sixth Responsible Person Date of Birth*
Sixth Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Seventh Responsible Person Name

First Name*

Last Name*
Seventh Responsible Person Date of Birth*
Seventh Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Eighth Responsible Person Name

First Name*

Last Name*
Eighth Responsible Person Date of Birth*
Eighth Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Ninth Responsible Person Name

First Name*

Last Name*
Ninth Responsible Person Date of Birth*
Ninth Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Tenth Responsible Person Name

First Name*

Last Name*
Tenth Responsible Person Date of Birth*
Tenth Responsible Person Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
Parent or Guardian's Email Address

Email*

Confirm Email*
Delegation Members

Head of Delegation - Name

Head of Delegation - Surname
Head of Delegation - Gender
Male
Female

Head of Delegation - Phone Number

Head of Delegation - Email

Head of Delegation - Planned arrival date
Head of Delegation - Tshirt size
Head of Delegation - Meal Type

Competitor 1 - Name *

Competitor 1 - Surname *
Competitor 1 - Select all events you are participating in. *
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 1 - Date of Birth *
Competitor 1 - Gender *
Male
Female

Competitor 1 - Phone Number *

Competitor 1 - Email *

Competitor 1 - Planned Arrival Date *
Competitor 1 - Tshirt size*
Competitor 1 - Meal Type*
Competitor 2

Competitor 2 - Name

Competitor 2 - Surname
Competitor 2 - Select all events you are participating in.
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 2 - Date of Birth
Competitor 2 - Gender
Male
Female

Competitor 2 - Phone Number

Competitor 2 - Email

Competitor 2 - Planned Arrival Date
Competitor 2 - Tshirt size
Competitor 2 - Meal Type
Competitor 3

Competitor 3 - Name

Competitor 3 - Surname
Competitor 3 - Select all events you are participating in.
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 3 - Date of Birth
Competitor 3 - Gender
Male
Female

Competitor 3 - Phone number

Competitor 3 - Email

Competitor 3 - Planned Arrival Date
Competitor 3 - Tshirt size
Competitor 3 - Meal Type
Competitor 4

Competitor 4 - Name

Competitor 4 - Surname
Competitor 4 - Select all events you are participating in.
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 4 - Date of Birth
Competitor 4 - Gender
Male
Female

Competitor 4 - Phone Number

Competitor 4 - Email

Competitor 4 - Planned Arrival Date
Competitor 4 - Tshirt size
Competitor 4 - Meal Type
Competitor 5

Competitor 5 - Name

Competitor 5 - Surname
Competitor 5 - Select all the events you are participating in.
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 5 - Date of Birth
Competitor - Gender
Male
Female

Competitor 5 - Phone Number

Competitor 5 - Email

Competitor 5 - Planned Arrival Date
Competitor 5 - Tshirt Size
Competitor 5 - Meal Type
Competitor 6

Competitor 6 - Name

Competitor 6 - Surname
Competitor 6 - Select all events you are participating in
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 6 - Date of Birth
Competitor 6 - Gender
Male
Female

Competitor 6 - Phone Number

Competitor 6 - Email

Competitor 6 - Planned Arrival Date
Competitor 6 - Tshirt Size
Competitor 6 - Meal Type
Competitor 7

Competitor 7 - Name

Competitor 7 - Surname
Competitor 7 - Select all events you are participating in
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 7 - Date of Birth
Competitor 7 - Gender
Male
Female

Competitor 7 - Phone Number

Competitor 7 - Email

Competitor 7 - Planned Arrival Date
Competitor 7 - Tshirt size
Competitor 7 - Meal Type
Competitor 8

Competitor 8 - Name

Competitor 8 - Surname
Competitor 8 - Select all the events you are participating in
Canopy Piloting (Accuracy, Distance and Speed)
Freestyle

Competitor 8 - Date of Birth
Competitor 8 - Gender
Male
Female

Competitor 8 - Phone Number

Competitor 8 - Email

Competitor 8 - Planned Arrival Date
Competitor 8 - Tshirt Size
Competitor 8 - Meal Type
Accompanying Person 1

AP 1 - Name

AP 1 - Surname
AP 1 - Gender
Male
Female

AP 1 - Phone Number

AP 1 - Email

AP 1 - Planned Arrival Date
AP 1 - Meal Type
Accompanying Person 2

AP 2 - Name

AP 2 - Surname
AP 2 - Gender
Male
Female

AP 2 - Phone Number

AP 2 - Email

AP 2 - Planned Arrival Date
AP 2 - Meal Type
Team Manager

Team Manager - Name

Team Manager - Surname
Team Manager - Gender
Male
Female

Team Manager - Phone Number

Team Manager - Email

Team Manager - Planned Arrival Date
Team Manager - Tshirt Size
Team Manager - Meal Type
Team Coach

Team Coach - Name

Team Coach - Surname
Team Coach - Gender
Male
Female

Team Coach - Phone Number

Team Coach - Email

Team Coach - Planned Arrival Date
Team Coach - Tshirt Size
Team Coach - Meal Type
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Country of NAC *

NAC Details (Name and Address) *

NAC Contact Person *

Phone Number

Email *
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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