Open Water Diver Course entry form 2025.07.26 Open Water Diver Course entry form Name Size_height, weight,foot(cm) I can provide rental equipment with these daters. date of birth gender malefemaleno answer Nationality Address TEL email 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 inquiry Δ Top Page other activity
