Skydiving Participant Release Form

Participant Information

Full Name Date of Birth Address Phone Number Email Address

Emergency Contact

Contact Name Contact Phone Relationship

Health Information

Do you have any medical conditions? Yes No If yes, please specify

Release and Waiver

I understand and acknowledge the risks associated with skydiving activities. I hereby release and discharge the organizers, instructors, and facility from all liability, claims, demands, or causes of action.

I have read and agree to the terms and conditions above.

Signature

Participant Signature Date