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.

If you wish to cancel or change your reservation date, please contact us by 13:00 the day before.
Cancellations made the day before will be charged 10,000 yen.
Cancellations on the same day will incur a 100% cancellation fee.

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

malefemaleno answer

Nationality

Hotel

TEL

Are you on WhatsAPP?

yesno

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?

yesno

・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

directly on siteNearest station or port(morning session only)

If you don't have a rental car, I will pick you up at the near by station or port.

What gear do you bring?

masksnorkelfinwetsuitbootsregulatorbcddrysuitdive computer