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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*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
Responsible Person Date of Birth*
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*
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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