4 Way 4 Every 1 Registration Form
Payment details are shown on successful completion of this form. Please ensure you pay special attention to the refunds/cancellations policy regarding SEQS Club events.
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Name *
Email Address *
Phone Number *
APF Membership Number *
Date of Birth *
This is for us to check your APF membership if necessary
MM
/
DD
/
YYYY
Sporting License Number *
NOTE: You MUST hold a B License as a minimum requirement (please contact us if you do not yet meet those requirements)
Number Of Jumps *
Number Of Jumps (last 3 months) *
This is to assess your currency
Number Of 4 Way Jumps *
Canopy Type & Size *
eg. Safire 149
Exit weight (kilos)
Please include all your equipment, which is typically an extra 8-10 kilos for a sports rig and helmet etc.
Advertisiting, Overselling, Waiting Lists, Refunds & Cancellations *
Please confirm you have read our policy (sites.google.com/site/seqsclub/policy) and are aware that your registration funds maybe at risk if you choose to cancel without us/you finding a replacement. Your registration is not guaranteed without payment.
Required
Indemnity & Conditions *
Indemnity  - Parachuting is dangerous. Where the applicant is a consumer as defined by any relevant law such as the Trade Practices Act 1974 or similar State laws, then certain terms and rights will be implied into a contract for the supply of goods or services for the benefits of the applicant. These terms and rights and any liability of the Association flowing from them cannot be excluded, restricted or modified by the contract. In other cases and except where inconsistent with the above any person parachuting, learning to parachute or participating in any activity carried on by this Association does so entirely at their own risk. It is a condition of admission to membership of this Association and/or participation in any activity organised by this Association, its office-bearers, committee persons, members and servants or agents are absolved from all liability howsoever caused (and whether fatal or otherwise) arising out of membership of this Association or participating in parachuting, learning to parachute, training to parachute, competing in a parachuting competition, flying in any aircraft being used for or in connection with parachuting or in any way caused by or arising out of any activity carried on by this Association whether or not such injury or damage is in any way whatsoever due to any negligent act, breach of duty, default and/or omission on the part of the Association, its office-bearers, committee persons, members or servants or agents. Any person parachuting, learning to parachute, training to parachute, competing in a parachuting competition, flying in any aircraft being used for or in connection with parachuting or participating in any activity carried on by this Association are only allowed to do so on the distinct understanding that they do so entirely at their own risk.  If any information contained in this document is unclear, enquiries should be made to the Office-Bearers of this Association.
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