Registration 2010

Please fill in the Registration form below.

It's mandatory for every skydiver at Kapos DropZone. It's not a user registration form, it's a registration at our dropzone!

Personal information

Name: *

Club: *

Address: *

Phone number: *

Email: *

Place of birth: *

Date of birth: *

Name of gardian:

Skydiver information

Service licence number:

Valid date:

Medical classification valid date: *

CoP FAI classification:

Number of jumps (all): *

Number of jumps (in the last 365 days): *

Gear information

Rented: *

yes

Main canopy

Type/size:

Date of manufacture:

Valid date:

Reserve canopy

Type/size:

Date of manufacture:

Valid date:

Harness and container

Type:

Date of manufacture:

Valid date:

AAD

Type:

Date of manufacture:

Valid date:

Reserve packing valid date:

Newsletter:

By selecting this checkbox your email address will be subscribe to the Kapos DropZone Newsletter!

Disclaimer: *

In knowledge of the law, I declare that all informations are real and correct.

Kapos DropZone