月謝Senior(シニア)を新設しました(2/16)

Skin diving entry form

Skin diving entry form

    Assumption of Risk Agreement

    ・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

     

    date of birth

     

    Nationality

     

    Hotel

     

    TEL

     

    email

     

    Are you on LINE?

     

    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 first day of hope

     

    The second day of hope

     

    Only for those who participate in the morning session▼

    On that day, will you participate in the afternoon session?

     

    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 bus stop.

     

    The number of participants

      Please enter for all participants

    name,age,sex,height,weight,foot size(cm),need a optical lens,

    (e.g.) John Smith,32,male,170,65,
    27cm,no need

     

    Please let us know if you have more than 5 people.

     

    do you rent an GoPro camera?

     

    do you rent an U/W sctoor?

     

    payment options

     

    inquiry