Subscription form training sessions

Training sessions for the Freefly Head Down “Record De France ”

Registration Form

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Which training session(s) do you want to register to? *

# Empuriabrava : 7th to 9th of May 2021

# Empuriabrava : 5th to 7th of June 2021

# Brienne : 19th to 21 of june 2021

Personal information

Name *

First name *

Facebook *

Town & Country *

Phone *

E-mail address *

Birth date *

Occupation *

License number (Country issued by) *

Date of your first jump *

Height *

Weight *

Weight with your equipment *

Experience

Freefly License (if any) * Yes No

Freefly Instructor License (if any) * Yes No

Total number of jumps *

Total number of Freefly jumps *

Biggest Freefly group jump done (specify: head down, Head up, Tracking…) *

Biggest head down group done (specify: linked or not, previews records…) *

Number of tunnel hours *

On exit you prefer to be * Floating In the base Diving No preference

In the formation you prefer to take a grip with * Right hand Left hand Both No preference

Miscellaneous

Any Medical specificities * Yes No

If yes, please specify (medical)

Food preference * Yes No

If yes, please specify (food)

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A message upon receipt of your registration will be sent to you, in which the terms of payment will be detailed.

Registration will only be valid once the registration fee has been paid.

Subscription fees are not refundable.