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:

Tunnel Participants
Number of 10 min blocks you wish to purchase
Morning or afternoon slot:
Do you have a group for the tunnel? 
If yes, please list the names in your group:
T shirt size
Please indicate if you plan on attending the dinner at the DZ on Sat night of the big way warm up weekend and/or Sat night of the record event. And if you will need extra dinner tickets for those nights. 
City
State
Zip
Country
If you would like to purchase additional T shirts, 
please state how many, what size and long or short sleeve
JOS Number
Will you be needing a packer?
April 20th - Friday tunnel time
April 24th - Tuesday tunnel time
Number of 10 min blocks you wish to purchase
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. Non US jumpers may still pay in cash when they arrive. Final payment is due by March 15, 2018.
 REGISTRATION CLOSES MARCH 15, 2018.

 Big Way warm up package - $375 / Deposit- $100

Women's Skydiver Over Sixty World Record package - $275 / Deposit - $100

Tunnel time  - $price to be announced$ / Deposit - $100

SOS World Record  package - $810 / Deposit - $150  

JOS world record package - $475 / 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:
JOES Number
Big way warm up
SOS world record
Women SOS world record
Tunnel time
Jumpers Over 70 world record
Dan B.C.
Carol Jones
Bill Jones
Pete Stone
Larry "LT" Thomas
Marshall Madden
Marty Jones
other (list below)
Jumpers Over Eighty Jumps