Part 17, page 291

Transcript

The scan is the source; the transcript is machine-generated from it.

[REDACTED] [illegible] ADULT CLUB/CENTER [illegible] PROFIT / [illegible]

Circle Only One Please

How did you learn to [illegible] (Check Only One [illegible]) [illegible] "A Spot in Born" [illegible] [ ] Magazine Article [ ] Sports Show (Which) [illegible] [ ] Yellow Pages Ad [ ] World Championship [illegible] [ ] Friend (name) [illegible] [ ] Word of Mouth [ ] Other

[REDACTED - multiple lines]

[illegible] ...confidentiality of [illegible] for [illegible] ...if you wish to be a [illegible] I know[s]

[REDACTED BLOCK]

café [illegible]

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PARACHUTING CLUB/CENTER

ADULT REGISTRATION FORM

Circle Only One Please How did you learn about us (Check Only One [illegible]) Age [illegible] [ ] "A Spot in Born" [illegible] [illegible] at Company [ ] Magazine Article [illegible] Employed [ ] Sports Show (Which) [ ] Yellow Pages Ad Circle Please give name of: [ ] World Championship [guess: Prize] [ ] [illegible] [ ] Friend (name) [illegible] [illegible] [ ] Word of Mouth [ ] [illegible] [ ] Other [REDACTED]

Other [illegible] HOW DID YOU TRAVEL TO CENTER? [illegible] ...do [illegible] [ ] Plane M Car [ ] Bus [ ] Other [illegible]

[illegible] UNRESOLVED PHYSICAL TRAINING AND JUMPING

[illegible] ...and [illegible] under the terms, if for any physical infirmity or chronic ail- ments or if [illegible] normal vision or have corrective lenses, and that I have

[illegible] (a) Nervous disorder [illegible] (b) Diabetes [illegible] (7.) Kidney or related diseases

[REDACTED BLOCK] Date 2-1-7[illegible]

[illegible] DO NOT SIGN THIS [illegible] -- TURN FORM OVER -- READ AND COMPLETE OTHER SIDE

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DB Cooper-5121