Fields of Life is committed to sharing the Christian faith by collaborating with local
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- Amanda Amelia Scott
- 5 years ago
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2 Fields of Life is committed to sharing the Christian faith by collaborating with local communities and churches in East Africa to bring about positive change through the provision of quality education, clean water, health promotion and other community based initiatives. By taking part in the skydive, you will help Fields of Life to
3 For every 25 jumpers (raising minimum sponsorship), one borehole will be drilled by Fields of Life. Each borehole provides over 1,000 vulnerable people in East Africa with clean, safe drinking water. Reduce the number of water related diseases and ultimately deaths; reduce the number of hours spent walking long distances to collect water; allow young girls to attend school; reduce the risk of attack on vulnerable young girls walking through remote areas to get water.
4 Saturday 17th September 2016 Moonjumper International Suite 9 Sandel Village Centre Knocklynn Rd Coleraine BT52 1WT The skydive is open to anyone from 16 to 80 years of age. Each participant is required to fill out the attached registration form and submit it to Moonjumper along with the 40 commitment fee. An official sponsor form and validation card will be sent to you. Space is limited. We advise you to book your place as soon as possible. Registration closes Friday 15th July All participants are asked to raise a minimum of Commitment Fee: Due upon registration to Moonjumper 210 Tandem Jump Fee: Due Friday 5th August to Moonjumper 160 Minimum Fundraising Target: Due Friday 7th October to Fields of Life *Detailed information on how to submit your fundraising efforts are included in this pack. A t-shirt will be provided for all those who participate. Please include your size on the registration form. The t-shirts will be available on the day of the jump. Insurance is not included in the cost. It is 35 and is paid on the day by the participant. Anyone under the age of 18 MUST provide an authorized BPA for (F106) signed by parent/legal guardian. Anyone over 40 MUST provide an authorized BPA form (F115(i)) stamped by a doctor. Both forms are attached.
5 The whole group arrives between 8:00 and 8:30am. Training begins at 8:45am sharp. This will last approximately 30 to 40 minutes. The first jumps will begin around 9:30am. It is a first come, first serve basis, so there is no set time that each individual will jump. You should plan to spend the day at the centre. Go directly into the sky centre and book in. A member of Fields of Life will be there to greet you. Casual clothing and trainers. A jump suit for the jump will be provided, as well as goggles if you wear glasses or contacts. Gloves are useful but not essential. A change of clothes is also suggested in case the weather is wet. Your jump ticket (provided by Moonjumper once the 210 course fee is paid in full), your parent consent form for those under 18 or medical form with doctor s stamp and insurance fee of 35. Each participant must turn up on the original date as planned regardless of weather conditions as paperwork is finalised and training will still be given. If the jump will not take place, a new date will be given. Video and photography is available for 85 per person. Please book this in advance with Moonjumper. The cameraman will capture you participating in training, entering the aircraft, freefalling and doing your landing.
6 Using a dual harness the student exits the aircraft at 10,000/13,000 feet, attached to the instructor, free-falls to 6,000 feet where the instructor opens the canopy and steers both persons to the ground. Male: 15 stone (95Kg) Female: 13 stone (83Kg) Moonjumper International was founded in February 2001 and operates throughout mainland UK and Ireland. Please visit their website or contact Moonjumper directly for any general skydiving questions. erika@moonjumper.com
7 Suite 9 Sandel Village Centre Knocklynn Rd Coleraine BT52 1WT FIRST NAME SURNAME ADDRESS (include post code) ADDRESS TELEPHONE GENDER DATE OF BIRTH AGE (if under 18) SIGNATURE OF PARENT/GUARDIAN EMERGENCY CONTACT NAME EMERGENCY CONTACT NUMBER WEIGHT HEIGHT T-SHIRT SIZE SMALL MEDIUM PLEASE PROVIDE ANY ADDITIONAL INFORMATION WE SHOULD KNOW LARGE X-LARGE
8 BRITISH PARACHUTE ASSOCIATION MEMBERSHIP AGREEMENT TITLE (Mr. Mrs. Miss etc.) & SURNAME FORENAME(S) ADDRESS POST TOWN COUNTY COUNTRY POSTCODE/ZIP TELEPHONE (Home) (Work) DATE OF BIRTH Day Month Year SEX: Male/ Female* MARITAL STATUS: Married/Single* BPA Number allocated *delete as applicable I, the applicant for membership, whose full details appear above, hereby apply for membership of the British Parachute Association Limited ("BPAL") and I agree as follows: 1. In this agreement the expression "the Association" shall include where the context so admits BPAL, any affiliated Parachute Club, Centre or other organisation (whether incorporated or not), any instructor, rigger or packer (whether or not employed at any club or centre), any other individual or corporate member of BPAL and any club or centre and any servant or agent of BPAL or any club or centre. References to the masculine gender shall include the feminine and the singular shall include the plural. 2. In consideration of you accepting me as a member of BPAL, I agree that for so long as I shall be and remain a member of BPAL and at all times when I am taking part in any parachuting or related activity at a BPAL associated club or centre I shall be bound by (a) the BPAL Memoranda and Articles of Association (b) all the Association's rules and regulations particularly safety regulations (c) all lawful instructions given to me by instructors and those put in charge of me on behalf of the Association. 3. I authorise BPAL to apply part of my membership fee towards the purchase of Third Party Liability Insurance through the Association's scheme effective from time to time. Such insurance shall cover my personal and public liability for death or injury to persons and damage to property caused during the course of any parachuting activity undertaken by me. The value and limit of such insurance shall be such minimum figure as BPAL may from time to time determine. I understand that BPAL membership insurance is not valid in the USA or at any club or centre in the United Kingdom which is not affiliated to BPAL. Instructors who are members of BPAL cannot claim indemnity under the BPAL third party insurance scheme if any club or centre for whom they are working at the relevant time is not a participating club or centre which has made a contribution to the premiums payable by BPAL for such third party liability insurance. Such instructors are therefore advised to effect their own third party liability insurance at their own expense. 4. I fully understand and freely acknowledge that sport parachuting is inherently dangerous regardless of the standard of training, supervision and equipment employed. I voluntarily accept all the risks inherent in the sport and I agree to carry out all parachute jumps and all activities connected with parachuting strictly in accordance with any instructions or tuition which I may at any time receive from any person authorised by any club or centre which is affiliated to BPAL to give me such instructions or tuition. 5. I agree for myself and my personal representatives to indemnify and hold harmless the Association against any claim or claims whether on my own account or from Third Parties arising out of any accident or incident resulting in any loss or damage (including bodily injury and death) and whether or not caused by my negligence or arising in consequence of my membership of BPAL or my participation in any form of parachuting or related activity. 6. I agree to notify BPAL within three working days of any accident or incident involving a Third Party and resulting from any approved sport parachute jump made by me. 7. I declare that I am: 18 years of age or over/under 18 years of age* (delete as appropriate) I acknowledge that the minimum age for sport parachuting is 16 years. SIGNED If under 18 years of age the following must also be completed by the parent or guardian of the proposed member. Dated To: The British Parachute Association Limited I (Name) of (Address) being the parent/legal guardian of the proposed member who is now aged years hereby confirm that I have given my permission for the proposed member to make parachute descents and that I agree to be bound in the same terms as those contained in the agreement signed by the proposed member and set out above.
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11 1. Collect money using the Sponsorship Form on the next page 2. Directly to the Fields of Life office as cash, cheque or bank transfer 3. Through Just Giving: - Go to - Click Log In at top right hand corner - Click sign up at the bottom of the box - Fill in details to register - You will see the page below: Select Make a New Page - You now need to select the charity you are fundraising for: Type Fields of Life into the search bar and select Fields of Life as your charity - You are now fundraising for Fields of Life! Funds raised can be submitted any time before Friday 7th October 2016
12 Name: address: Full Name (Full name & Surname) Home Address (Home address required to claim Gift Aid) Postcode Amount Given Gift Aid (Tick) Julie Patterson (Fields of Life) E: T: Carn Road, Craigavon
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