Thank you for your interest in our diving courses! Please fill out this form to help us understand your needs and recommend the best course for you.
First Name
Last Name
Date of Birth
Email Address
Phone Number
Street Address
City
State/Province
Postal/Zip Code
Emergency Contact Name
Emergency Contact Phone Number
Have you ever dived before?
What is your comfort level in the water?
Beginner
Intermediate
Confident
Are you comfortable swimming?
Can you tread water for 10 minutes?
Do you have any experience with snorkeling?
Beginner Courses
Discover Scuba Diving (Try Dive)
Open Water Diver (OWD)
Continuing Education Courses
Advanced Open Water Diver (AOWD)
Rescue Diver
Emergency First Response (EFR)
Specialty Courses
Professional Courses
Divemaster
Instructor
Other Interests
Guided Dives
Refresher Course
Equipment Rental
Dive Travel
Medical Conditions: Do you have any medical conditions that might affect your ability to dive? (e.g., heart conditions, lung problems, epilepsy, diabetes, recent surgeries, etc.)
Medications: Are you currently taking any medications?
Physical Limitations: Do you have any physical limitations that might affect your ability to dive? (e.g., back problems, joint problems, etc.)
Claustrophobia/Anxiety: Do you experience claustrophobia or anxiety in enclosed spaces?
Ear Problems: Do you have a history of ear problems or difficulty equalizing pressure in your ears?
Swimming Ability: While being a strong swimmer isn't always essential for all courses, some level of comfort in the water is important. Please describe your swimming ability.
Availability: When are you available to take a course?
Weekdays
Weekends
Evenings
Any days
Specific dates/times
Please specify the specific date and time.
Budget: Do you have a budget in mind for your diving education?
Please let us know if you have any other questions or require further information.
How did you hear about us?
By submitting this form, you acknowledge that you have answered the questions truthfully and to the best of your knowledge. This information will be kept confidential and used only to assess your suitability for diving courses.
We look forward to hearing from you and helping you start your underwater adventure!