DEEPWATER MAFIA Spearfishing Club Application

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Email *

Name (First & Last) *

Do you have a nickname?

Mailing Address *

Cell Phone *

Level of certification *

Who is the certifying organization? PADI, SSI, etc. *

Dive Cert number *

Dive Cert Date *

YYYY

Are you a boat owner

Yes

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Emergency Contact name *

Emergency contact phone number *

I understand

If you would like to join our dive group, you must be a certified diver.
Annual membership is $100 for the year. *

$100 for Annual membership

Do you have Divers Alert Network (DAN) Insurance? While not required it is highly recommended. For more info go to https://dan.org *

Yes

DEEPWATER MAFIA Spearfishing club is a social organization that puts you in contact with other scuba divers to go on fun trips and is NOT a charter service. I (applicant) am a certified scuba diver. I have been taught and understand that scuba diving/ spear fishing is a hazardous activity with inherent risks and dangers associated there with including, but not limited to risks associated with equipment failures, perils of the sea and acts of fellow divers as well as dangerous marine life which could result in serious injury or death. Click Yes to acknowledge this. *

Yes, I understand the above statement

Submit

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