BASE Lauterbrunnen Registration

The Swiss BASE Association landing card entitles you to use the designated landing areas in the valley, these will be marked with a wind sock.

The landing card costs 25 Swiss francs, is valid for one year and covers the main landing areas for Yellow Ocean, La Mousse, The Nose and Stechelberg.

It can be purchased in the Horner Pub or the Tourist Information.

Only with the fields marked * are required.

However, the SBA would like to gather some statistical data about jumping in the valley,

so we ask each Jumper to take the time to fill in the form completely and truthfully.

Thank you.

The data will be kept confidential and details of experience and equipment will only be used anonymously.


The rescue services only have access to relevant data.

Personal Information

Surname*
Name*
Year of Birth	- 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910
	Male Female

Adress

Street
House No.
Zip/Post_Code
City
Country*
Phone
E-Mail*

Emergency Contact

Surname
Name*
Street
House No.
Zip/Post_Code
City
Country
Relationship
Phone 1*
Phone 2

 

Experience

Total Skydives
Total BASE-Jumps
This year I will do about	jumps in the Lauterbrunnen Valley

This is my first time in Lauterbrunnen

Yes No

Equipment information

Track Pants

Yes No

Wing Suit

Yes No