FormParachuting center adult registration forms and medical statements (photographed set)page 3 of 8
formLegibility: low

Part 64, page 398

DB Cooper-26848

Open in FBI Vault (Part 64, page 398 of the PDF)

FBI 164-81, Vault Part 64 p. 398 (DB Cooper-26848), Form — cooper.theunsolved.net/parts/Cooper-Part-64/pages/398

Transcript

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

[illegible] ... [redacted] ... D [guess: Bank] [redacted] [illegible] County, C [illegible] [illegible] [illegible] -N7 [illegible] [illegible] ... [illegible] [guess: pickup] [guess: from] [illegible] b6 b7C

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PARACHUTING GENERAL

ABOUT [illegible] MODIFICATION FORM

Can [I/We] [guess: Copy One Please] How did you [guess: learn] [illegible] [illegible] ... [illegible] [guess: about] [guess: Our] C[illegible] [illegible] no [illegible] [ ] "A Sport to [guess: Come]" [illegible] [illegible] [guess: at] [guess: Company] [illegible] [ ] Newspaper or [illegible] [illegible] [illegible] [ ] [guess: Window] [guess: Display] [illegible] [ ] [guess: Yellow] P[guess: ages] [illegible] Can you [illegible] [guess: give] name of[s] [ ] Radio/[guess: TV] [illegible] [guess: or] [illegible] [illegible] [ ] Printed Material [illegible] [illegible] [guess: Suggested] [illegible] [ ] Word of Mouth O[illegible] [redacted] [guess: Date] [illegible]

HOW DID YOU TRAVEL TO CENTER? [ ] Plane [ ] Car [ ] Bus [ ] Other

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INSTRUCTIONS REGARDING PARACHUTE TRAINING AND JUMPING

[illegible] ... [illegible] if [illegible] [guess: under] [illegible] [guess: years], it [guess: has] any physical infirmity or chronic ail- [illegible] [guess: that] [guess: I/had] [guess: neither] [guess: Visual] or [guess: have] corrective lenses, and that I [guess: have] [illegible] ... of:

[illegible] [guess: at] [illegible] [guess: 5.] Nervous disorder [illegible] [illegible] 6.) [guess: D]iabet[guess: es] 7.) [guess: K]idney or related diseases

Date [guess: 2]-[guess: 72] -7[guess: 1]

[illegible] [guess: No.] [illegible] [guess: and] [illegible] -- [guess: 20],[guess: 18] [illegible] and Or[illegible] -- READ AND [guess: COMMAND] OF [illegible]

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DB Cooper-26848