Competition Entry Form | Sky Remy Services

Entry Fee: 1500 ksh

Name *

First

Last

Phone *

Email *

Colour of Wing / EN Class *

Flying Doctors Insurance Nr.

Mpesa Confirmation Code *

Please Mpesa Ksh 1500 to Mpesa Till Nr: 9007959 and type in the Confirmation Code above. If you do not have Mpesa on your phone simply type in ‘1234’ in the ‘Mpesa Confirmation Field’ and pay in cash on Comp Day.

Captcha *

INDEMNITY FORM: I wish to participate as a contestant at the 2nd Paragliding Competition 31.05 – 02.06.2019. Therefore I hereby acknowledge that I have familiarized with the nature and extent of the sport and the risk and danger to which I may be exposed as a result of my participation in the sport and the use of equipment; Voluntarily assume the risks and dangers to which I may be exposed as a result of participation in the sport and completely understand and accept that intense physical and mental exertion may occur thereof and warrant that I have no medical or mental condition or complaints that may in any way endanger myself or other pilots during or after participation; Indemnify and keep indemnified the Paragliding Association Kenya and/or its members and/or against all injury, loss, damage, costs and/or expenses which I and/or any other person may sustain or incur as a result of my participation in the sport and the use of equipment; Agree not to hold the Paragliding Association of Kenya and/or its members and and/or agents liable for any injury, loss, damage, costs and/or expenses that I may sustain or incur as result of my participation in the sport; This indemnity does not provide cover against gross negligence or intentional conduct that causes loss or injury. PLEASE TYPE OK IN THE FIELD BELOW, IF YOU HAVE READ AND AGREE WITH THE ABOVE INDEMNITY FORM *

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