NID Scuba Club Sign-Up Form
Email address *
Name
Address
Contact Number
Emergency Contact - Name
Emergency Contact - Number
Email Address
Birthdate (For Birthday Specials!)
MM
/
DD
/
YYYY
Diver Certification Number
Date of Certification
MM
/
DD
/
YYYY
Place of Certification
Why are you interested in being a member of our Scuba Club?
Upon being accepted as a Nature Island Dive Scuba Club Member you will be asked to sign a Code of Conduct to guarantee Diver Safety and Preservation of the Marine Reserve. Are you willing to do this?
Clear selection
If Maybe above, view our Code of Conduct by clicking here - https://docs.google.com/document/d/1sPRSc4-lb5zAqF8YfHPFjKWDFo6onczLDn1-p5scIEU/edit?usp=sharing Are you now willing to sign our Code of Conduct?
Clear selection
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy