form22 | Skydive Jersey

Your Skydive Booking

Please complete all the required fields, which will populate your booking documentation for review, once you submit them.

Please then read through the documents, and the additional attached important information, to help you understand what happens next.

First Name

Surname

Date of Birth

in the format 17/05/1982

Gender

Address Line 1

Address Line 2

Parish

Postcode

Height in Meters

Weight in Kg

Mobile Phone Number

Emergency Contact Name

Emergency Contact Mobile Number

Gift Voucher Number

Todays Date

The date you have booked to do your skydive.

Your preferred date

The time you have selected to do your skydive

Please expect your skydive to take up to 4 hours

Video Option

The video option must be booked in advance to ensure availability