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Diving Registration Form
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Diver's Name
*
First
Last
Diver's Age
Date of Birth (DOB)
Sex
Male
Female
Others
Rates Parent's/Guardian's Date
Address
Parent's/Guardian's Name
*
First
Last
Parent's/Guardian's Email
*
Medical Concerns (Allergies, Medications, etc.)
Emergency Contact Name
*
First
Last
Emergency Contact Number
Relationship to Diver
Signature of Parent/Guardian
Package Options and Rates
Drop in Session Package: $40.00
10-Session Package: $340.00 ($34 per session) – 1 session per week
20-Session Package: $540.00 ($27 per session) – 2 sessions per week
30-Session Package: $810.00 ($27 per session) – 3 sessions per week
40-Session Package: $1,000.00 ($25 per session) – 4 sessions per week
Preferred Days and Time
Tuesdays: 7:00 PM – 9:00 PM (UFT)
Fridays: 7:00 PM – 9:00 PM (UFT)
Saturdays: 12:00 PM – 2:00 PM (UFT)
Sundays: 7:00 PM – 9:00 PM (Toronto Panam Centre)
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