琉潛旅遊潛水/體驗潛水Liuqiu Dive Fun Diving/Intro Diving

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忘記自己是參加哪個活動嗎？

what is the type of your diving activity? *

【水肺】體驗潛水Discover scuba diving（沒有證照non-license）

【水肺】旅遊潛水fun dive（有證照certified diver）

自由潛水 free dive

我半年內來過，並且填過這份表單了

請閱讀以下健康聲明，如有其中一項為「是」，請告知教練或小編。

Please read this medical statement carefully.

No need to complete the form, bot please let me know if you have any condition of medical statement.

潛水結束後12小時內或重複潛水後18小時內是不能搭飛機的

You should not go to altitude(fly) within 12 hours of completing a single dive or 18 hours when doing multiple dives.

是 YES, I know and I won’t take flight within 12 hours after diving.

否 NO, taking flight isn’t in my plan.

English skip here

我確認上方健康聲明皆已全數看過並且會主動回報「是」的選項

I have read all the medical statement above and I'll inform staff any of "YES"

Required

【活動參加日期】

不是生日不是生日不是生日！

First date of participation

今年是 2 0 2 5 年了唷！⚠️日期填第一天就好⚠️

YYYY

負責傳訊息跟琉潛聯絡的人（也就是主揪）Who is the main contact person? *

民宿代訂請寫民宿名字、本人親自訂就寫自己的名字、朋友訂就寫朋友名字

姓名(本名) Full Name *

綽號

性別Gender *

男性male

女性female

身份證 ID number(passport number) *

之前有來過琉潛嗎？Have you came to Liuqiu Dive Center before? *

第一次來 First time

之前來過了 Couple times

我是在琉潛考證照的學員 I’m Liuqiu dive shop student

我是在台灣潛水TDC考證照的學員 I’m Taiwan dive center student

Other:

推薦人是誰呢？（沒有則填無）

如果是朋友推薦來琉潛，請用力填上他的名字～

Who referred you? (If no just type”NO”)

若琉潛之後有特殊活動或優惠活動是否同意以電子報形式通知

English speaking person please select "no"

同意 yes

不同意 no

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