TRY SCUBA DIVING SIGN UP Fill-out necessary information below to proceed with the Try Scuba Diving Course. Session Date* MM slash DD slash YYYY Note:You've booked less than 7 days. No cancellation or change of date is allowed. Note:Pool session is available every Sunday only. Your Personal InformationName* First Last Your Email* Your Phone*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you have Existing Medical Conditions?* Yes No If Yes, please state your medical condition below.* Try Scuba Diving Course Price: HiddenDo you need rental equipment? YES, with soft gear rental ($ 54.00) No Soft Gear Rental Includes: Mask, Fins, Snorkel *Note: Need Mask & Fins for OWD courseTotal $ 0.00 Terms and Conditions* I agree with the terms and conditions. General: 1. The confirmation of each altered course or trip date shall be subject to availability 2. The purchased course is non-transferable 3. Purchased course will not be exchangeable for other products 4. Standard course terms & conditions apply Payment* MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Δ