Booking form for your course in Skydive Atmosfera


I'm interested in course:


Write down when are you going to visit us (day/month/year):

Name and surname

Your e-mail

Address: street, number, flat

post code, city, country

Mobile number:

Facebook profile:

Age:

Weight: (kg)

Hight: (cm)

Occupation:

Practiced sports:



Skydiving experience

Total number of skydives (w tym tandemów):

Number of skydives (tandems) in last 3 months:

If you completed AFF course: skydiving center, instructor, date of the exam:

Emergency contact person: (name, relation, mobile number, e-mail):



Data for the third party insurance:

date and place of birth

Passport number

I'm interested in:
Residential/AFF/FSCHouse - DZ transportationPick me up from airport

Comments:

How do you get to know about us:



Reservation is valid after the payment only!




"I agreed with terms and conditions of Club Deportivo Atmosfera )"




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