!CERTIFIED DIVER REGISTRATION FORM

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1Participant Data
2Medical Statement
3Liability Release
4Safety and Rules
5Final Step

You will need a copy of both sides in same image of your passport/national ID, a copy of both sides in same image of each diving certificate, and possibly a physician's evaluation ready to complete this five (5) step form. (A hint: you can find FREE online tools for image cropping, editing and size compression if needed)

PERSONAL INFORMATION

Your Name
Younger Than 18
Click or drag a file to this area to upload.
(JPG OR PNG with max. 600 KB size)

ACCOMODATION INFORMATION

EMERGENCY CONTACT

DIVE INSURANCE

Diving Insurance

DIVING EXPERIENCE

Are you a certified diver?
You must be a certified diver to continue with this form

EQUIPMENT PREFERENCES

Fins
Boots
Wetsuit
BCD
Mask
Regulator
Dive Computer
15L Tank (optional)
Torch (optional)
Snorkel
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