JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024 Belize Trip Information
Please complete the Belize Trip information form for each person in your party.
OCD Divers will contact you with a trip agreement, liability release paperwork, and invoice.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Participant's First Name, Middle Initial, and Last Name
*
Your answer
Date of birth - please use calendar so M/D/Y is clear
*
MM
/
DD
/
YYYY
Participant Phone Number
*
Your answer
Participant Address
*
Your answer
Room Selection
*
$2,599 diving/$1,599 non-diving per person Private queen bed, AC, and private bath - double occupancy
$2,499 diving/$1,499 non-diving per person Private queen bed, AC, shared bath - double occupancy
$2,199 diving/$1,199 non-diving per person - Private full futon, no AC, shared bath - double occupancy
$2,299 diving/$1,299 non-diving per person - non-private twin bed, no ac, shared bath - single occupancy
$1,999 diving/$999 non-diving per person - non-private 1/2 of sectional sofa, no AC, shared bath - single occupancy
Are you participating in the dives?
*
Yes, I will be diving
No, I am non-diving
Traveling as:
*
Sharing double-room
Not-Sharing, but double room, adding non-diving rate to room
Single spot (twin bed or sofa)
If sharing a room, name of second person:
Your answer
Add Friday Special Two-Tank Dive for $199?
*
Yes
No
Certification - min required for trip is Advanced Open Water and Deep Diver
*
Advanced or higher with Deep Diver already completed
Advanced OW or higher, but not deep - I will certify as Deep Diver before travel
Open Water - I will certify as Advanced and Deep Diver before travel
None - I will certify as Open Water, Advanced Open Water, and Deep Diver before travel
None - I am not diving
Please Register me for these classes to be completed during scheduled sessions in May or June 2024 before departure:
Open Water Diver Book Version - $399
Open Water Diver eLearning Version - $499
Advanced Open Water Diver Book Version - $319 (prerequisite: AOW)
Advanced Open Water Diver eLearning Version - $419 (prerequisite: AOW)
Deep Diver Book Version - $ 249 (prerequisite: AOW)
Deep Diver eLearning Version - $299 (prerequisite: AOW)
Rescue Diver Book Version - $349 (prerequisite: AOW)
Rescue Diver eLearning Version - $449 (prerequisite: AOW)
Please schedule me for the following additional certifications while on the trip (Discount - $10 off regular price and another $10 off all classes for each additional one, up to $50 off per class). These are all book version classes. eLearning option available (+$50/class) - add a note in comments below.
Boat Diver - 2 dives, reg $159, discounted $149-$109
Digital Underwater Photography - 2 dives, reg $229, discounted $219-$179
Drift Diver - 2 dives, reg $159, discounted $149-$109
Multi-Level Computer Diver - 2 dives, reg $159, discounted $149-$109
Peak Performance Buoyancy - 2 dives, reg $159, discounted $149-$109
Underwater Naturalist Diver - 2 dives, reg $159, discounted $149-$109
Gear Options - BCD/Regulator/Computer/Compass
*
I have my own - $0
Check-out familiar quality gear from OCD Divers - $199
Use unknown gear provided on boat - $0
Payment Type Option
*
Check or eCheck (pricing as shown)
Credit Card (3% higher pricing)
AfterPay - up to 12 months starting from deposit date (6% higher pricing and finance charges apply)
Payment Spread Option
*
All up-front
Follow payment schedule online
Use AfterPay to spread over 12 months
Special requests or comments
Your answer
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