Indoor Skydiving Facility Video Release Waiver Form
Please complete this form to provide your identity details, session information, emergency contact, and consent for video recording and use during your indoor skydiving session.
Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Session Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I grant permission to the indoor skydiving facility to record video footage of my session and use it for facility purposes, including promotional materials and social media.
*
I consent
I do not consent
I acknowledge that I have read and understood the video release waiver and agree to its terms.
*
I acknowledge and agree
Participant Signature
*
Submit
Submit
Should be Empty: