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PADI Courses Sign-In

Express Sign-In if you’ve signed up for a Dive Course. This sign-in form applies for the following courses: BM, DSD, SD, OWC, AOW, ERF, RD, DM, OWSI. It also applies for Liquid Lense Underwater Photography and Videography Courses.

If you’ve booked ahead, save time on holiday by filling out our Express Sign-In Form online before you arrive.

Contact Information

First Name *

Middle Initial

Last Name *

Email *
Mobile Tel No.: (including country code)
Skype Name:

Date of Birth: *
Are you Male or Female? *
 Male Female
Language: *
How did you hear about us? *

Dive Equipment
Do you have ALL your own Dive Equipment?
 YES NO
Which items do you require Scubafish to supply?
 Full Set BCD Wetsuit Regulator Mask Snorkel Fins
What is your Wetsuit (T-Shirt) size?
What is your Shoe size?

Private Instructor
Would you like a Private Instructor?
(We will do our best to arrange this for you, although it may not always be possible during busy periods. Group sizes are kept to a maximum of 4 students per group)
 Private Instructor (2,000 THB p/day p/group)

Extra Dive Equipment
Are you interested in renting any of the following items? (please check all items you are interested in)
 Dive Computer - Suunto ZOOP (250 THB p/day)
 DIN Adaptor (50 THB p/day)
 Extra-Large 15L Tank (200 THB p/day)
 NITROX Tanks - 32% (220 THB p/tank)

Mailing Address:
If you're taking a PADI Course we'll need your mailing address so we can send your certification card to you
Mailing Address 1
Mailing Address 2
City
State / Region
Zip/Postal Code
Country: *

Emergency Contact Information

This should be someone at home (who is not going to be out on the dive boat with you)
Emergency Contact Name (at home): *
Emergency Contact Tel/Email: *
Relationship to you: *
Contact Person Language: *

Accommodation Information (in Ko Lanta):
Resort:
Room No.:
Check-In Date:
Check-Out Date:
Local Tel:

Dive Licence Information (for certified divers):
If you're signing up for Bubblemaker, Discover Scuba Diving, Scuba Diver or Open Water Diver, you don't need to fill this section out - only fill in if you have certification card already
Highest Certification Level:
Diver Number:
Certification Date:
Association:
Total No. Dives:
Date Last Dived:

Insurance Information:
Do you have your own Diving Insurance?
 YES NO
Do you wish to purchase our In Depths Diving Insurance?

• Covers all in-water, diving-related accidents and injuries up to 2,850,000 THB.
• Covers Hyberbaric Chamber treatment, which costs in excess of US$800 per hour.
• One course of treatment usually lasts 8-12 hours.
Insurance Company:
Policy No.:
Expiry Date:
Insurance Tel No.:

Dietary Requirements
Please let us know if you cannot eat certain foods - On the boat, we normally serve Chocolate Croissants & Bananas for breakfast and Rice with a choice of 2 x Chicken dishes and 1 x Vegetarian dish for Lunch. It is possible for us to order you a Cheese or Chicken Baguette (instead of the Thai option) on request.
Other Dietary Requests:

Additional Comments/Message

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