PADI Course*Open Water DiverAdvanced Open Water DiverRescue DiverEFRRescue + EFRDivemasterRe-ActivateNitroxAssistant InsturctorExisting Agency, Highest Certification and Certification NumberName* First Last Mobile phone number*Email address* Date of Birth (dd/mm/yyyy)* Name as in Passport*Passport Number*Expiry Date of Passport*Nationality*Group NameWeekend Dates I would like to Dive*Please let us know what size equipment you need, copy and paste the below link into a new browser*Click here to see Dive Gear Size ChartEmergency ContactName* First Last Phone*Please confirm the below* I can demonstrate that I can swim 200 metres - during my first pool session I can demonstrate that I can float/tread water for 10 minutes - during my first pool session I have printed, read and signed the PADI Liability Release & Assumption of Risk Agreement I 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 dive I have printed, read and signed the PADI Open Water Diver Course Record and Referral Form I have printed, read and signed the PADI Standard Safe Diving Practice Form If you are not able to swim, we suggest you first learn to swim before taking this course. We will not allow students to start the course unless they can swim and tread water. If you need to see a Dive Doctor in Singapore, visit here for more information. Please upload a Head Shot Passport jpg photo (400 x 514 / Max 10MB)*Terms & Conditions* I have read and agree to the Terms & Conditions
