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Statement of Risk

What to do next

  • Fill in all of the requested flyer information
  • Answer the 6 'limitation on flying' questions
  • Confirm the 2 statements
  • Fill in your flight information
All fields marked * are mandatory

Flyer Information

First Name *
Last Name *
Address *
 
 
Town/City *
County *
Postcode *
Country
Email Address *

Used as primary method of communication and to notify you how to obtain photos of your flight.
Please add "noreply@airkix.com" to your email "safe senders list", otherwise you might miss your Airkix photos.
Date of Birth * / /
Sex *Male Female
Contact Number

Limitations on flying: It is confirmed that the Participant:

1.

Does not exceed 18 stone (252lbs or 114kg) in body weight Under over 18 stone

2.

Is over 4 years of age Yes No

3.

Is not pregnant Not pregnant is pregnant

4.

Has not previously suffered from a dislocated shoulder Has not has had dislocated shoulder

5.

Is not under the influence of alcohol or non-prescribed drugs

6.

Is not wearing a hard plaster cast

Confirmations

The Participant confirms that if they have a history of neck or back problems or heart conditions they have sought the advice of their doctor before participating in the activity.

Not applicable to the participant OR Advice has been sought

DVD's - We record in the -R format. Airkix is not responsible for compatibility, technical or recording issues that can arise when making DVDs. In the event that a DVD is unable to playback on any machine, including computers, any credit will be limited to the specific value paid towards the DVD and not towards flight time. NB there is no specific value for DVDs included within packages. 

I understand and agree to the DVD terms.

Flight Information

Are you a first time flyer at AirkixY N
Are you a skydiver with more than 8 jumps?Y N
What date and time are you flying?    
  Morning   Afternoon   Evening

Continue

Click here to view and read your completed statement.



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