First, a few questions...

Registering for Recreational Charter - 12/14/2024 10:00 AM-2:00 PM Change

Signee Information

First Name *

Last Name *

Your Date of Birth *

Phone *

Email Address *

Address *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Highest Training Level*

# of Years as a Certified Diver*

Total # of Dives*

Max Depth*

What is the maximum depth of your dives?

Year of Certification*

What year were you first certified as a scuba diver?

Training Agencies*

What Training agencies have qualified/certified you as a scuba diver?

Please enter participants' full names:

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By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.