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Leap for Love

Register for Leap for Love 2021!

Complete the official Leap for Love 2021 registration form to join our team of 25 Mighty Leapers this year! 

After submitting the registration form below, Skydive New England will charge your card $199 for the registration fee, and you will receive a welcome email with simple instructions to easily set up your fundraising page to get started! Once you meet your fundraising goal of $2,600, we will promptly refund your $199 registration fee so that your Leap is free for you, our Hero! 

We will check-in frequently to share pre-written posts, photos, and emails to help you meet your fundraising goal!

If you decide to jump somewhere other than Skydive New England (Lebanon, ME) or Skydive Danielson (Danielson, CT), please let us know ASAP; we will reimburse you $199 for your tandem skydive fee when you meet your fundraising minimum of $2,600.

Leap for Love 2021 Registration Form

This is the OFFICIAL registration form for Leap for Love 2021! Please note, after completing this form, we will call you in the next few business days to get your credit card information by phone to finalize your registration!

You will be charged $199 by Skydive New England or Skydive Danielson depending on your chosen drop zone. This is your tandem jumping fee and will be promptly reimbursed when you meet your $2,600 fundraising minimum. You do not need to send a receipt, as the skydive centers will keep records for us. 

We recommend using Facebook and/or our secure fundraising platform called Classy to streamline fundraising for your epic Leap. Within a few days of joining our Leap 2021 Team, Kerry will send you information on how to set up your personalized fundraising link on Facebook and/or Classy. In past years, setting up individual Facebook fundraisers has been the MOST effective way to quickly meet Leap fundraising goals.

If you have any questions, anxieties, fears, or concerns call or email our Fearless 2021 Leap Leader, Captain Kerry Powlovich at Kerry@LucysLoveBus.org or 781-454-8535. 

We can’t wait to fly the friendly skies with you!!!

With love, heart palpitations, and also heartfelt thanks,
Captain Kerry and Co-Pilot Beecher


Registration Information

What is the best time to call you for your credit card information?
Check all that apply

 

The following questions are required by Skydive New England and Danielson to reserve your tandem jump

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Billing information

We will call you for your credit card information, but if you include your billing information it will save some time!

Card charge acknowledgement
I acknowledge that the fundraising minimum is $2,600 with a tandem jump fee of $199 that will be reimbursed when I meet my fundraising minimum. I understand that Love Bus kids are counting on me to meet my fundraising goal and will do my utmost to fulfill my commitment. If, for any reason, I am not going to be able to meet the $2,600 fundraising minimum, I will let Lucy’s Love Bus know immediately and forfeit my spot on the 2021 Leap Team so that another Leaper can raise much-needed funds for Love Bus.

Shirts are unisex fit.

Love Bus jumpers are taking the leap on September 4th at Skydive New England in Lebanon, ME, OR at Skydive Danielson in Danielson, CT on Saturday, October 9th. Please answer the below question in hopes we can continue as planned, keeping in mind:

If COVID19 restrictions don't allow us to jump on the above dates, or if you are not comfortable skydiving on these dates, you will receive a voucher to tandem skydive at Skydive New England or Skydive Danielson at a later date of your choosing (if you meet the fundraising minimum). We'll be holding a socially distant celebration at Skydive New England in Lebanon ME on September 4th to celebrate, even if we can't jump! Please click here to see all that Skydive New England is doing as part of their COVID19 precautions.

Do you plan to jump with the Love Bus group on the date for that location?

 

 

To have Lucy's Love Bus reimburse my jump fee (up to $199), I acknowledge I must meet the fundraising minimum of $2600 on or before September 3rd or October 8th (the day before the event).

 

 

You must be 18 or over on the day of the jump to participate, and weigh less than 240lbs. By checking below, you acknowledge these 2 factors.
*Please confirm these restrictions with your chosen dropzone as restrictions may vary.

PARTICIPANT RELEASE OF LIABILITY AND ASSUMPTION OF RISK

In consideration of being allowed to participate in the Leap for Love, including related events and activities (together, for purposes of this document, the "Event"), I, the undersigned, acknowledge, appreciate, and agree that:

·       I understand that photographs may be taken of me in connection with the Event. I hereby consent to the taking of such photographs and the publication of such photographs;

·       I willingly agree to comply with the terms and conditions for participation in the Event, as contained herein and in the Event brochure. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such hazard to the attention of the nearest official immediately;

·       The risk of injury from participation in the Event is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist;

·       I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (defined below) or others, and whether or not covered by my personal health or other type of insurance; and I assume full responsibility for my participation in the Event; and,

·       I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS LUCY'S LOVE BUS CHARITABLE TRUST, operator of the Leap for Love, Skydive New England, its officers, officials, directors, agents and/or employees, other participants, volunteers, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises and/or vehicles, property and/or equipment used to conduct the event (together, the "Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS, OR DAMAGE to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS REGISTRATION FORM, INCLUDING THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK PROVISIONS CONTAINED HEREIN, I FULLY UNDERSTAND ITS TERMS, AND I UNDERSTAND THAT I WILL BE GIVING UP SUBSTANTIAL RIGHTS BY SIGNING IT. NEVERTHELESS, I SIGN THE FORM FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


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