LUSAC Expedition Form
Please complete this form AND the Sport Liverpool form before any expedition commences.

This form should ideally be submitted as early as possible to make the Diving Officer aware of any planned expeditions and have time to review them.

All information submitted will be read by the Diving Officer and securely stored electronically.

How do I contact the National Diving Accident Helpline?
Call 07831 151 523 in England & Wales. In Scotland call 0345 408 6008.

If at sea and experiencing an emergency call the Coastguard via 999 or Channel 16.
Email address *
Your Name *
Your Email Address *
Expedition Location *
Date From *
Date To *
Names of all those attending trip and qualification level *
Please include yourself if you are attending. Names to be followed by qualification, one line per person.
Brief outline of plan *
Eg. sites / max depths / transport / accomodation etc.
Club Boats Required?
Clear selection
Trip Contact Name *
Please ensure the following name and number are of a person who is attending the trip
Trip Mobile Contact Number *
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