Nitrox Diver Registration 2019
The London Skin and Scuba Club offers an ACUC Nitrox Diver Course in the spring/summer of 2019 (exact dates to-be-determined). Interested students are expected to be Open Water certified, at least 16 years old and have 2 hours of bottom time. If not ACUC certified, pls contact Simon Helsen at simon.helsen@gmail.com. If these prerequisites are not met at the time of course completion, the student will be given an ACUC Nitrox certification at a later time once these requirements are fulfilled.

The course itself is only theory and will take place on a Saturday in the spring/summer (dates TBD) at the residence of Glen Dietz (address will be distributed to registered students). It is highly recommended that prospective students review their ACUC open water dive tables before the course.

The cost of the course is CAD $120. The total registration limit is 20 students. You can pay for the course with a major credit card after you have filled out the form below or provide a cheque payable to London Skin and Scuba Club on the day of the course. Each student needs to be registered separately.

Call or email Simon Helsen if you have questions 226-973-8118 (simon.helsen@gmail.com)

Email address *
Name *
First and Last Name
Your answer
Address *
Street, house number, etc.
Your answer
City *
Your answer
Postal Code *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current highest dive certification *
In order to certify you, we NEED your highest ACUC certification number. Please do not provide a temporary certification as they are not attached to individual students with ACUC. Also, if your highest dive certification is NOT ACUC, please first provide your highest ACUC certification (e.g. if your highest certification is Advanced PADI, but you have OWD with ACUC, please provide the OWD ACUC). Finally, if your have no ACUC certification at all, please e-mail a copy of your highest non-ACUC dive certification to simon.helsen@gmail.com
Your answer
Total bottom time *
Indicate whether you satisfy the prerequisite 2 hours of bottom time
Payment Options
The course fee is CAD $120 (if reductions apply, they will be returned at a later time)
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