Participant Information Form 

Please ensure you have read and understood the MANDATORY SAFETY RULES before completing the form below.

Date of Activity
Date of Activity
Name *
Date of Birth *
Date of Birth
Are or were you a member of the Armed Services?
Name and relationship to you
Name and relationship to you
Please provide a telephone number
Please provide an email address or leave blank if none
We take all reasonable steps to keep your details safe and we will not pass your details to any other organisation without your explicit consent. If you are happy for Aerobility to contact you in the future by email, phone/sms, and post, please tick yes below. *
Medical Declaration
Please provide the below information that will help Aerobility's Instructors and staff to access your needs. We are happy to discuss any questions or concerns you may have prior to the flight.
Please tick any that apply
By ticking yes below, you are confirming that you have read and understood the mandatory safety rules and are giving your consent to fly. *
Please indicate if you are happy for us to take photographs which may be used in our promotional material (eg social media, Aerobility magazine, press releases) *