Want to Skydive for Herriot Hospice Homecare?

Fill in your details below and one of our friendly team will be in touch to talk you through the process - you'll be ready to tackle this amazing challenge before you know it!

First Name *

Last Name *

Street Address *

Address Line 2

City *

Post Code *

Email Address *

Phone number *

Date of birth * +

Date preferences for skydive: please submit up to three options. *

Emergency contact number: *

What is your preferred method of communication to be contacted by our team about your challenge event? *

Phone

Email

Please be aware there are age, weight and medical restrictions, the details can be found here: www.skydivegb.com/tandem/#restrictions. All terms and conditions can be found here.

Please also note that there will be the option to postpone your skydive, if restrictions mean you are unable to take part on your chosen date, please see Skydive Gb’s COVID plan here: https://www.skydivegb.com/blog/covid-19-updates#tandem

What is your motivation for wanting to skydive for Herriot Hospice Homecare? *

Your information will be used by Herriot Hospice Homecare, to provide you with the best service possible. Your details are safe with us. We will not sell or swap them. We will only use them in accordance with our information notice Read our information notice here