SCUBAVENTURES ONLINE CONTINUING

 EDUCATION CERTIFICATION COURSE SIGNUP

 FORM AND PROCEEDURES

 

PLEASE COMPLETE THIS FORM AND RETURN TO SCUBAVENTURES

 

CHECK COURSE TITLE (  ) NITROX (  ) ADVANCED OPENWATER

(  ) RESCUE (  ) DIVEMASTER

 

FIRST NAME______________________________ MIDDLE INITIAL_______

 

LAST NAME_________________________________________

 

DATE OF BIRTH DAY___________ MOUNTH___________ YEAR_________

 

ADDRESS____________________________________________________________

 

CITY___________________________________ STATE__________ZIP__________

 

PHONE #_____________________ EMAIL_________________________________

 

PRIOR TO SIGING UP FOR THIS COURSE PLEASE GO TO  www.scubaventure.com  CLICK ON FORMS. RETRIVE AND FILL OUT STATEMRENTS OF UNDERSTANDING, LIABILITY RELEASE, AND MEDICAL FORM. (NOTE IF YOU ANSWER YES TO ANY MEDICAL QUESTION YOU WILL NEED THAT FORM SIGNED BY YOUR DOCTOR PRIOR TO ANY IN WATER TRAINING.

 

UPON RECIVING REQUIRED FORMS INCLUDING THIS ONE AND PAYMENT FOR CLASS YOUR INSTRUTOR (JOE DUBOSE) WILL BE ISSUE YOU A USER NAME AND PASSWORD TO ENTER THE PADI ONLINE COURSE SITE. AFTER COMPLETING YOUR ONLINE COURSE PRINT YOUE TRAINING COMPLETION FORM AND BRING IT WITH YOU TO YOUR FIRST MEETING WITH YOUR INSTRUTOR. THE FIRST MEETING WILL BE AT SCUBAVENTURES DIVE CENTER PRIOR TO THE FIRST POOL SESSION. YOU WILL A TAKE 25 QUESTION QUIZ AND GET ANY EQUIPMENT THAT YOU WILL NEED FOR YOUR FIRST POOL SESSION.

 

POOL SESSIONS  IF REQUIRED AND LOCATION VARY. BE SURE TO VERIFY TIME AND LOCATION WITH YOUR INSTUCTOR.

 

AFTER COMPLETING ACCADEMICS AND POOL DIVES FOR THIS COURSE YOU WILL BE REQUIRED TO COMPLETE OPEN WATER DIVES FOR FINAL CERTIFICATION. THIS WILL VARY DEPENDING ON COURSE. AND LIKE CONFINED WATER, TIME AND LOCATION VARY. CONSULT WITH YOUR INSTUCTOR FOR TIME AND LOCATION.

 

ALL PORTIONS OF THIS CLASS MUST BE COMPLETED WITHIN ONE YEAR OF YOUR START DATE AND ALL FEES ARE NON REFUNABLE.

 

SIGNITURE___________________________________________DATE__________

 

IF UNDER 18 SIGNITURE OF PARENT OR GUARDIAN

 

______________________________________________________DATE___________