Course Registration

Who are you signing up for a course?

Please select whether you are registering yourself for a course or someone else

Who are you signing up for a course?

Myself

Someone Else

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Course Sign Up

I hereby sign up for the following course(s)

Repeater Field

Course Name	Course Option	Amount

Earliest starting date

I’m scuba certified

Yes

Certification (Highest)

Certification Card Upload

Choose File

Number of DIves

Do you need rental equipment?

Yes, I need rental equipment

No, I have my own

Which rental equipment do you need?

Item	Size	Amount

Legal & Medical Info

Diving Insurance

Yes, I want more information

No, I already have diving insurance

We will send you some info on good diving insurance after the course registration.

You can also find more info here.

What’s your dive insurance provider

Please note that a valid dive insurance confirmation is required in order to participate in any scuba diving activities with Social Diving!

I hold a valid Diving Medical by a certified diving physician

Yes

Please fill out the Scuba Medical Questionnaire before the start of the course.

How did you find out about Social Diving

Is there anything you want to tell us?

I have read and agree to the Terms and Conditions and Privacy Policy

I consent to have Social Diving® store my submitted information so they can respond to my inquiry

By submitting this form you will be signed up for the course and charged the course fee!

Who are you signing up for a course?

Student Info

Course Sign Up

Legal & Medical Info

Make the most out of every dive