Please use your full legal name as you would like it listed on your certification card.
Please list your cell phone number if possible, or the number best to reach you.
Date of Birth
Is it okay to send you a text message?
Some people don't have text plans or prefer not to receive texts. We respect that, but please indicate if it is an issue.
Yes, sending me texts is fine.
No, please don't text me.
When would you like to begin?
for schedule or reply here with specific dates you'd like to begin.
Would you like your photo on your certification card(s?)
Yes, I will email my photo to
No, I would prefer not to have my picture on my certification card.
If you have any special needs or medical conditions, please list details here.
Class(es) for Which You'd Like to Register
Open Water Group Class $350
Open Water Private Class $600
Advanced Open Water $220
Enriched Air Nitrox $200
Combination Advanced Open Water and Nitrox $340
Rescue Diver $300
Oxygen O2 Administration $80
CPR, First Aid, and AED $140
Diver's Alert Network DEMP (includes 4 classes: CPR, First Aid, O2, Hazardous Marine Life, Neurological Assessment $280
Discount - $15 per person if 2 people enroll in Open Water
Military Discount - $25 off of ANY class except CPR and O2
Refresher Course for Open Water ($200 and up)
Divemaster Course $800
Assistant Instructor Course $600
Instructor Course $800
HSA Dive Buddy Course $300
Snorkeling and Skin Diving (for people of all ages) - ($20 per person and up for group class; $120 for private class)
***The following questions are only for already certified SCUBA divers. If you would like to work on advanced certifications, please complete the following. Date of open water certification:
SCUBA Educators International (SEI) or YMCA
Total number of logged dives
Please enter your highest level of certification.
Please enter your certification card # here.
Name or names of instructors with whom you earned your certification(s)
Please list the city and organization where you earned your certification(s).
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