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Freedive Nomad Student Intake Form (Wave 1) 自潛浪人學生表單(Wave 1)
Your course fees include 課程費用包含 
- Certification fees for Molchanovs freediving agency 認證費用與抹茶會員
- Pool fees (if available)  泳池費(如有需要)
- Premium freedive gear rental 裝備租借
- 4 open water sessions 三堂海訓
- 1 pool session 一堂泳池訓
- Scooter rental (e-scooter license not required) 
- Accommodations (in our bunk room, check out here)
- Travel arrangements (we earn small commission) 旅行安排
- Each student is responsible for transportation to and from the dive site (scooter or e-bike only) not walking and no bike.   所有學生需要使用機車當交通工具,不能走路或騎腳踏車
- Access to all photos and videos on the cloud 照片與影片
- Please read terms and conditions here https://www.freedivenomadtaiwan.com/terms 閱讀更多規則與規定請點連結
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Email *
Name (FIRST LAST)  姓名(名 姓) *
What country are you from? 國籍
Why do you want to learn freediving? 為什麼想學習自由潛水
Date of Birth 生日 *
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Course Date Start 課程起始日期 *
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Have you read and agree to the terms and conditions? (link in description above) 有清楚閱讀規章了嗎?(請參閱置頂資訊) *
Can you swim 200m comfortably? 可以輕鬆的游泳200公尺嗎? *
How comfortable are you in the ocean? (Scale 1-10 10 most comfortable) 你在海中能多放鬆(1-10分 10分最放鬆) *
How comfortable do you feel when you can't see the bottom of the ocean? (scale 1-10 with 10 the most comfortable) 當你看不到海底時能多放鬆(1-10分 10分最放鬆)
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Do you sometimes get sea sickness? 會暈浪/船嗎? *
If yes, what do you need help with arranging? 如果是, 需要那些幫助?
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What is your shoe sized in cm? 鞋子尺寸(公分) *
Have you used a snorkel and fins before? 曾經用過呼吸管或蛙鞋嗎? *
What is your height and weight (cm/kgs please)? (for wetsuit fitting)? 身高體重(公分/公斤)
What is your tolerance to cold? (scale 1-10) 寒冷的耐受度 *
Do you know how to ride a scooter? 會騎機車嗎 *
Do you have a Taiwan scooter license? 有台灣機車駕照嗎
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What fruits do you NOT like to eat? No need to put durian, I definitely will not buy durian 你不吃什麼水果,不用寫榴槤,我不會買 *
Do I have your consent to post photos and videos onto social media or ads? I rely on social media for new students but I will 100% respect your privacy if you do not wish to be included. 請問你同意把你的照片跟影片讓我們發佈到社群媒體上嗎,我們很依靠社群媒體來幫我們找到新學生,但我們完全尊重你的個人隱私,如果你決定不讓我們使用的話。
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If the above answer is yes, please write your Instagram handle if you'd like to be tagged in. 如果上一題回答是,請告訴我們你的Instagram帳號,我們會標記你
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