Subscription form South Africa

Fill in the form below to subscribe to the Paragliding Safari in South Africa.

When you are logged in, the system fills in your details as far as known. Check here (in dutch) whether your profile is complete and up-to-date. If you do not have a profile yet, you could register here (in dutch).

Trip information

Location *

Period *

Type of trip / course *

Price *

Experience

Current license Mountain / Winch

Flights/hours Mountain/Winch/Coastal *

BHPA/DHV/KNVvL member number

License number

Glider

Brand

Model and size

Colors

Personal data

First name *

Last name *

Street and House number *

Postcode and City *

Telephone number (mobile) *

Email address *

Date of Birth (dd-mm-yyyy) *

Weight (in kg.) *

Height (in cm) *

Comments / Specifics

Travel insurance

Company *

Telephone number *

Policy number *

Health insurance

Company *

Telephone number *

Policy number *

Emergency contact

First and last name *

Relation *

Telephone number (mobile) *

Email address *

Paragliding is a risk sport. Action Paragliding BV strives to create a safe environment and good guidance for practicing paragliding. The nature of paragliding involves a certain risk and therefore participation in paragliding activities can lead to injuries, permanent disability or death.
Errors of the undersigned, (student) pilots, employees and other people involved, material failure and weather conditions, can lead to an accident. The undersigned accepts these risks and the consequences of a possible accident. The undersigned declares that he, nor any other (legal person) on his behalf, will hold Action Paragliding BV, or persons associated with Action Paragliding BV, liable for any accident or damage as a result of paragliding activities in the broadest sense of the word.






(*) = Mandatory field
(**) = Dutch only; English under construction