REGISTRATION FORM




                         I am registering for   



First Name
Last Name
Mailing Address
Email address
Phone (optional)
POPS Number
SOS Number
Date of Birth
Exit Weight (pounds)
(Kilograms x 2.2 = pounds)
Height (inches)
Total number of jumps
Jumps in the last 12 months
Jumps in the last 6 months
Have you jumped with supplemental O2?
Do you have any physical limitations?
If yes, please explain:
Any other information that would be helpful to the organizers:
A dinner ticket is included in the JOS package for the dinner at the DZ on May 23 and a dinner ticket is included in the SOS package for the dinner at the DZ on May 30. If you would like additional dinner tickets or  if you do not want a dinner ticket, please indicate in the box below.
City
State
Zip
Country
A short sleeve shirt is included in the JOS and SOS package. If you would like additional T shirts or a long sleeve T shirt - please indicate your choice and size in box below. 
JOS Number
Will you be needing a packer?
Fill out the  registration form below and when it is received, I will send you an email with your total costs. Your deposit will secure your slot.   There are several ways to pay. One method is to mail a check made payable to Carol Jones, PO Box 3928, Alpine Wy 83128. Another method of payment is to call Skydive Perris at 951-657-3904 and pay with your credit card. There is a 3.5% charge for using your credit card. NOTE: PayPal also charges a fee which you must add to your total cost if you wish to use that payment method. Non US jumpers may still pay in cash when they arrive. Please no checks from non-US banks as my bank  charges me a fee. Final payment is due by April 15, 2020.

 REGISTRATION CLOSES APRIL 15, 2020.


 WSOS World Record package - $130 (Sat only) / Deposit - $50

SOS World Record  package - $915 / Deposit - $150  

JOS world record package - $550 / Deposit - $100


Total  wind tunnel time
Wind tunnel coaching? If yes, please list coaches:
Largest Formation completed?
Largest Formation attempted?
Record events / training camps attended in the last 24 months
Preferred exit position
Preferred slot position
References:
JUMPER GLOVES (one pair free to each participant)
SIZE
COLOR
event T shirt
SOS world record
Women SOS world record
Jumpers Over 70 world record
Dan B.C.
Carol Jones
Larry "LT" Thomas
Paula Thues
Mark Brown
Marshall Madden
George Nisson
other (list below)