form22 - Skydive Jersey

Your Skydive Booking

Please complete all the required fields, which will populate your booking documents and email them to you 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.

This is a

New Booking

Re-Scheduled Booking

Gift Voucher starting SKY_

Other Gift Voucher

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

Skydive Selected Date

Your preferred date

Skydive Selected Time

Please expect your skydive to take up to 4 hours

Video Option

The video option must be booked in advance to ensure availability