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Registration Form  

Part A:  Personal Details
Part B:  Attendance & Accommodation Details
Part C:  Payment Details
Part D:  Individual Needs & Media Opportunities

 

PART A

PERSONAL DETAILS:

  
Salutation:
First Name:
Surname:
Nickname:
Home Phone Number:
Work Phone Number:
Mobile:
Fax:
Email Address:
Street Address:
Suburb:
State (Australia):
State (International):
Postcode:
Country:
Date of Birth:
Gender:         
Member (APF/BPA/USPA etc):
Licence No.:
No. of Rigs:

IN CASE OF EMERGENCY PLEASE CONTACT:
Name:
Relationship:
Contact Details:

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PART B

ATTENDANCE DETAILS:

SKYSISTER               STUDENT SKYSISTER               SLAVE


Please choose one of the options below or your registration can not be processed (i.e. Fundraiser, Student Package, Convention Package, or Individualised Items):


$0 FUNDRAISER  (OPTION ONLY VALID TO 31 MARCH 2011 - A minimum of $2,000 for Skysisters & Slaves, or $10,000 for Student Skysisters, must be personally raised to qualify.  Includes record registration fees.)
OR

$5,000 STUDENT PACKAGE  (Includes: "Addiction Package" 20 jump course, video of all course jumps, 2 photo shoots, full event registration, goggles, log book, SS t-shirt, event DVD, SS Ball ticket, registration bag full of goodies, customised hat.)
OR

$1,135 CONVENTION PACKAGE  (Includes:  full event registration, 10 jump tickets, SS t-shirt, event DVD, SS Ball ticket, registration bag full of goodies, customised hat, photo book set.)
OR
INDIVIDUALISED ITEMS
$ Daily Registration of  days registration @ $40/day
   (Specify dates attending)  April 2011 to  April 2011
$ Being for  Jump Tickets @ $45 each
$ Being for  Skysisters Ball Tickets @ $75 each
   Name on extra tickets:
$ Being for  Skysisters DVD @ $50 each
$ Being for  Skysisters Photo Book Set @ $200 each


RECORD REGISTRATIONS

$50 per Record for Non-Fundraising Participants
(Please check applicable records)    
 

$ TOTAL
 

Big-way formation     Head Down     CRW     Atmonauti
Wingsuit flock          POPs


ACCOMMODATION DETAILS 

(Early bookings essential)
Check one of the following accommodation requirements:
$0             Camping
$12/night   Powered Site from  to 
$55           Powered Site for duration (limited number)
[NO VACANCIES]   Bunkhouse from to (limited number)

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PART C

PAYMENT DETAILS:

Please calculate the cost of your Package (or Registration, Jump Tickets, DVD, Photo Book Set and Ball) plus record registrations and accommodation.

$ TOTAL          

 

PAYMENT OPTIONS  Note:  2% Bank Charge for Credit Card
Please choose one of the following payment options:

Payment by cheque/money order for the total amount of $
       Post to:  Skysisters, P.O. Box 178, Moffatt Beach  QLD  4551

Please charge my credit card for total amount of $

      Credit Card No.   Expiry: /

I have made a direct deposit of $ Total Amount

I have made a direct deposit of $ First Monthly* payment.

* Direct Debit Payment Plan:  Easy payment of regular installments via Direct Debit. First installment to be paid upon submission of this registration. Full payment must be completed before arrival at Skysisters.

 

Bank:  Commonwealth Bank  ♦  Account Name:  Skysisters

BSB: 064239  ♦  Account No.:  10017287

(Include your name on the transfer)

Please ensure that Skysisters confirms receipt of your registration and payment.

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PART D

INDIVIDUAL NEEDS & MEDIA OPPORTUNITIES:

We would love the opportunity to cater to your individual needs and identify media opportunities.  Your assistance by completing the following questions would be greatly appreciated.
How many jumps would you like to make at Skysisters?

What type of jumps would you like to make at Skysisters? (Please check box):

Freefly     Flatfly     Atmonauti     CRW     Night     Canopy Piloting

Wingsuit Flocking     Novelty

Do you hope to be on any records? (Please check box):

Freefly     60-way    Atmonauti    CRW    Wingsuit Flocking    POPS

Do you require a packer at Skysisters?

Yes     No

 Approximate number of packs required:
Do you have any goals you would like to achieve at Skysisters?
Will you be making any significant jumps at Skysisters (e.g. 100th or 1000th)?
Are there any seminar topics and/or specific presenters you would be interested in?
How many jumps do you have in total?
What jumping qualification and/or ratings do you currently have?
What jumping achievements do you have (i.e. records, medals)?
Do you have any claims to fames, jumping or otherwise?
Is there anything about you worth mentioning that might be a good story for the media?
Do you have any friends or family who are celebrities or sporting stars etc., who might like to do a promo tandem jump at Skysisters?
Please list any media contacts you might have:
Please supply contact details for TV stations, magazines, radio stations and newspapers in your local and regional areas.
T-Shirt Size:
Preferred style of t-shirt:

Stretchy Chick Shirt     Baggy T-shirt

Singlet     3/4 Sleeve     Long Sleeve
Occupation:
Are you a pilot? Yes     No
No. of children:
No. of grandchildren:

Do any of your children or family members jump?

Yes     No

If yes, please detail:
Are there any Women's Groups you support or would like to support?

Are you a vegetarian?

Yes     No

List preferred alcoholic beverages:
Do you need an on-site DZ babysitter during Skysisters?     Yes     No

Do you do any other X sports?

Yes     No

If yes, please detail:
What else do you do for kicks?
Is there any way you could personally contribute to Skysisters?

 

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