Registration

Registration

 
 

Please fill all the register form fields
Contact data
Name
Surname
Date of birth (DD-MM-YYYY)
Identity document number
E-mail
Contact Phone
Nationality
Address - street, number
Adaress - postal code, town
Person who should we contact in case of accident
Name
Surname
Contact Phone
Address, relation, email
Licence
I have a licence yes no
Licence type
Licence publisher
Licence number
Certify ULC
Licence expiry (DD-MM-YYYY)
I have a SK yes no
Polish qualification certificate number
Polish qualification certificate creation date (DD-MM-YYYY)
Polish qualification certificate expiry (DD-MM-YYYY)
Medical
Medical expiry (DD-MM-YYYY)
Examine class
Medical restriction
KWT
KWT expiry
Insurance
Insurance policy number
Insurance policy expiry (DD-MM-YYYY)
Insurance policy amount
Name of insurance company
Parachute
I have own parachute package yes no
Main parachute
Spare parachute
Container
AAD
Packjob expiry (DD-MM-YYYY)
Rigger name and surname
Comments on verify
Jumping types RW/FS    FF   
CP    CFS   
Others
Cameraman yes no
Profession
Comments
All fields required
You need to confirm your data with atmosfera person. Please get all needed documents to confirm data you provided

 
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