General Participant Information Form

Who will be participating?

Adult  Children

Signee Information

Please let us know how you found out about Scuba Connection and this event.

Please enter No or Yes. If yes, provide your certification level. You will be asked to provide at minimum an image of your certification prior to the event, if required.

Let us know what courses you are interested in.

EMERGENCY CONTACT

Please provide a phone number for your emergency contact.

EXPERIENCE

List your experience here.

1 being beginner 5 being expert







Select all that apply

EQUIPMENT








Please check off all the equipment you own and can bring already. For intro courses or special demos equipment is provided.

Please let us know your shoe size if you need fins.

Please let us know your jacket size if you need a BCD

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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.