Course Registration Select Courses *Select Email *Phone Number *Date of Birth *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 123456789101112131415161718192021222324252627282930123456789101112Name as in Passport *Passport Number *Expiry Date JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 123456789101112131415161718192021222324252627282930123456789101112Nationality *Dates I would like to Dive *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember SunMonTueWedThuFriSat 123456789101112131415161718192021222324252627282930123456789101112Please let us know what size equipment you need, copy and paste the below link into a new browser File Upload Choose a file No file chosen. Max. 1MB Emergency Contact Name *Telephone * I Agree that:I can demonstrate that i can swim 200 meters - during my first pool session I can demonstrate that i can float/thread water for 10 minutes - during my first pool session I have printed, read and signed the PADI Liability Release & Assumption of Risk AgreementI have printed, read and signed the PADI Medical Form and if i have answered "Yes" to any of the questions, I have a Medical Certificate to confirm I am fit to diveI have printed, read and signed the PADI Course Record and Referral FormI have printed, read and signed the PADI Standard Safe Diving Practice Form Submit Button
