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Fun diving entry form

Fun diving entry form

    Assumption of Risk Agreement

    This program is for those who have acquired a diving C card.
    If you do not have a C card, please enter the discover diving program.

    Even if you stop the program in the middle for your convenience,I cannot refund the course fee.

    Cancellation deadline is 13:00 the day before. If you cancel after this time, a charge of 4,000 yen will be charged.

    I am not responsible for loss of your luggage.

    I agree to the above disclaimer.

     

     

    Name

     

    Size_height, weight,foot(cm)

    I can provide rental equipment with these daters.

     

    date of birth

     

    gender

     

    Nationality

     

    Hotel

     

    TEL

     

    email

     

    Are you on WhatsAPP?

    After this I would like to contact you on What'sApp.
    My What'sApp number is
    +818017980119

     

     

    Do you have a history of any of the following medical conditions?

    ・Currently suffering from asthma
    ・Pneumonia, pneumothorax (lung rupture)
    ・Heart disease
    ・Diabetes
    ・Currently suffering from a hernia
    ・Taking medication to control blood pressure
    ・Smoking, overweight, over 45 years old

     

    The day of hope

     

    The meeting place

    Please come to the site by car on that day.
    If you don't have a car, I will pick you up at the nearby JR station.

     

    do you rent an GoPro camera?

     

     

    Diving instruction group

     

    ▼ If you are PADI qualified, you do not need to enter your card number.

    your C_card_number

     

     

    inquiry