DIVE ACTION COURSE BOOKING FORM


Contact Details

Name:

Address Line 1:

Address Line 2:

Address Line 3:

Town/city:

Post Code:

Country:

Email address:

Telephone Number:

Mobile Number:

How did you hear about us:

 


Course Booking

Course interested in:

Preferred date:

No. of divers to attend:

Do you have your own equipment:

How long have you been diving:

No. of dives completed:

How many in the UK:

What qualification do you hold:

Any other datails to add:

 


IMPORTANT INFORMATION, PLEASE READ

I understand that the following apply:

I will not be permitted to dive without a medical declaration, or where necessary a full medical. I take part in courses entirely at my own risk. Dive Action Diving Services are not liable for loss of, or damage to equipment, or injury to persons. The course program may be altered without notice to provide the most suitable diving in the prevailing weather conditions. Qualified divers must produce log books, PIC cards etc.

Thank you!