JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Online Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please choose:
*
AIDA 1 (1-day introductory course)
AIDA 2 (3-day course)
AIDA 2 Package (Price: 14,000NT, including two-night hostel accommodation)
AIDA 3 (3-day course)
Molchanovs WAVE 1 (3-day course)
Molchanovs WAVE 2 (3-day course)
Coaching (1.5 hour session)
Crossover (1-1.5 days)
Guided fun dive (2-hour session)
Other:
Requested start date:
*
MM
/
DD
/
YYYY
Name:
*
Your answer
Gender:
*
Female
Male
Contact number:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
LIND ID:
Your answer
Whatsapp:
Your answer
Height (cm):
Your answer
Weight (kg):
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Phone Number:
*
Your answer
Equipment rental (500NT per day):
*
Includes wetsuit, mask, snorkel, fins, weight belt, weights, freediving socks, and safety lanyard
Yes
No
Would you like us to book you a scooter for 400NT/day?
*
Yes
No
Would you like to purchase a basic set of equipment?
*
〖Promo price: 3,000NT〗Problue freediving mask (black), Problue snorkel (black), Problue freediving bifins
〖Promo price: 4,000NT〗Aqualung Sphera freediving mask (4 colors), IST snorkel (3 colors), Problue freediving bifins
No, thanks
If you are joining us on a course, you get promotional pricing on your equipment purchase!
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
