Diver Information Form

Name *

First

Last

Certifying Agency

Certification Level

Ability and Comfort Level

Last Dive Location:

Number of Logged Dives

Date of Last Dive

DIVING PREFERENCE

Do you wish to rent any dive gear/ equipment?

If Yes, Please specify your equipments:

(Confirmation will be Emailed)

with diving video)

Will you be diving with a camera (still or video)

Special request

Nitrox

Do you wish to take NITROX Course during your stay

Would you like to improve your skills and take any PADI dive courses: