Full Name: *Email Address: *Age:Phone: *Next of kin: *Phone: *SAFA Number: *PG Rating: *Do you hold a Tow Endorsement? (yes/no) *How long have you been flying for? *Total Airtime: (hours) *Have you ever done a SIV before? (yes/no) *What are your main goals during the course?Is your reserve repacked within last 6 months? (yes/no) *Wing Brand, Model, Certification model? *Harness: Seat board/Pod *Reserve type:Are you aware of inherent risks of SIV training? yes/noSubmit
