Big Way Participation Request Form
If you have previously completed a Participation Request form, please Log In.
Do not complete this form more than once. Multiple applications could delay your approval.

If you are an established, safe Big Way formation jumper and a team player,
please obtain a reference from one of the Captain's listed and submit your Participation Request Form.

Minimum Requirements: Recommendation of an approved event Captain, a USPA C or D License
or foreign equivalent (and a POPS/SOS number for POPS or SOS events).

NOTE: Big Way events are by invitation only and not all Participation Requests are approved.

IF you are selected to participate, you will receive an Invitation and
event information with payment instructions by email from an Event Captain.

Do not send a payment until notified by email of your acceptance by an Event Captain.
You will be notified after an Event Captain's approval at which time your slot deposit will be due.
PERSONAL INFORMATION:
Name
First MI Last Nickname
Street Address:
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
Home Phone:
Cell Phone:
E-mail:
I am a   Attending as a
EMERGENCY CONTACT INFORMATION:
Contact Name:   Telephone No:
Address:  
SKYDIVING INFORMATION:
Parachute Assoc. Member
Number:		   Parachute
Association Name:
 DD/MM/YY Format  Eg. D       1234
Date of Expiration?   License Type | No:
Note: If you register for a POPS event, your POPS number is required.
POPS Member Number:
Note: If you register for a SOS event, your SOS number is required.
SOS Member Number?
Primary Jumpsuit Color:
Height ( Feet' Inches ):
Exit weight ( US Lbs ):
T-shirt Size:
Rig Color:
Total Jumps:  ( NUMBERS ONLY! Do not enter commas or text. )
Total Jumps in
Last 6 Months:		  ( NUMBERS ONLY! Do not enter commas or text. )
Big Way
Jumps (100+):		  ( NUMBERS ONLY! Do not enter commas or text. )
Largest Completed
Formation:		  ( NUMBERS ONLY! Do not enter commas or text. )
Select Preferred Oxygen Hose:
  Tube ( for Full Face Helmet )
  Canula
  Mask
List Your Big
Way Experiences:
Use Ctrl for
Multiple Selections
Select one Captain
to recommend you:
If you do not have a Captain's reference or do not know any of the captains listed, please comment on
why you should be selected for a big way event.
Note that failure to obtain a reference from a Captain will reduce your chances of being selected.
Select your slot preference:
 EXIT SLOTS: FORMATION SLOTS:
Select one Formation Slot
Floater Slots: Early Floater Base: 8 Way
Select one
floater slot.		 Middle Floater Base: 8-40 Way
  Late Floater Base: 40-70 Way
Diver Slots: Early Diver Whacker: Connector
And select one
diver slot.		 Middle Diver Whacker: Group
  Late Diver Any Slot
  Any Exit    
Additional Jumper Comments