Winter Scuba Client List
Email address *
What is your name? *
Your answer
What is your mailing address?
Your answer
Cell Phone Number (XXX-XXX-XXXX) *
Your answer
Why do you want to become scuba certified? (Why are you taking this course?) *
Your answer
Is there anything else you want me to know? Comments or concerns? *
Your answer
Open Water Checkout date February 17/18 *
Open Water Weekend March 3-4 *
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