Jump Form Page - Skydive Kentucky

All funds support United Way of Central Kentucky’s Operation Good Neighbor program, aimed at maintaining and keeping at-risk neighbors in their homes. The sky is the limit, raise as much as you can in support of our mission to connect our community for the common good.

If all funds are NOT raised, you will be responsible for supplying the difference.

Thank you for your interest in Skydive for Change! Please take a moment to fill out this brief form and we will reach out to you with more information.

“Deadline to sign up for Skydive For Change is August 10 (two weeks prior to event)”

“Rain Date: Saturday, September 14“

**Please note, skydivers must be 18 years or older and
weigh less than 230 pounds.**

First and Last Name(Required)

I am signing up(Required)

As an individual

As an individual representing a company

Organization or Employer if you are jumping on behalf of them.(Required)

Preferred Phone #(Required)

Preferred Email(Required)

T-Shirt Size (Unisex)(Required)

Do you prefer morning or afternoon?(Required)

Morning

Afternoon

We’ll do our best to accommodate.

Please upload a photo of yourself to be featured on your custom fundraising Skydive for Change website. This will be a small image, so a headshot or photo of yourself (without other people in the photo) is preferable.(Required)

Max. file size: 50 MB.

How did you hear about this event?(Required)

Comments/Questions(Required)

CAPTCHA

This field is for validation purposes and should be left unchanged.