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

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 storeJR Kashii station

If you don't have a rental car, I will pick you up at the JR Kashii station.

What gear do you bring?

masksnorkelfinwetsuitbootsregulatorbcddrysuitdive computer

do you rent an GoPro camera?

yes(1,000yen)no

Diving instruction group

PADISSICMASNAUIBSACother

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

your C_card_number

inquiry

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