WUSAC Diver Signup 2018 - Preliminary Details

This signup form is intended for people wishing to do a try dive in application for Ocean Diver training, or already trained divers who wish to register as part of WUSAC Diving. We will not accept try dives for those not wishing to learn to dive further as we have limited spaces.

By providing us with this data, you consent to us contacting you in regards to the activities stated. Once the events/activities have passed, your details will be securely destroyed and all communications from then on will be through our secure member database. In order to receive these updates, you must become a member of the Club.

Email address *
Full Name *
Your answer
What is your gender? *
This has no bearing on your application, it is only to enable us to determine the gender you identify with / when your name is non-gender specific (e.g. Sam - Samuel or Samantha) or we do not understand how your culture gives you names.
What is your Student ID Number? *
Your answer
What is your mobile phone number? *
Please precede number with a "0" and put a space somewhere in to so that it keeps the "0"!
Your answer
What university course are you on? *
Please put your Department if you are a member of Staff (see also next question)
Your answer
What is your current year of study?
Select ONE box only
1 Year Course
Visiting Exchange/Erasmus Student
2 Year Course
3 Year Course
4 Year Course
Other
N/A or Staff
1st Year
2nd Year
3rd Year
4th Year
Other
N/A or Staff
If you have selected other above, please explain which year and how long your course is:
Your answer
Do you already have a diving qualification? *
Next
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