Instructor Student Log

Please complete a form for each student

You have to make sure each Student completes the "Elite Scuba Liability' waiver prior to Water Training, this can be accessed on cell phone at 'www.elitescuba.net' on the E-Forms page!!!!!

Instructor's Name: *

Ron

Rob

Chris

Evan

Ryan

Mikey

Will

Other:

Student's Full Name:

Certification Date: *

YYYY

Sessions Completed: *

Select type of student (Private, refresher, try scuba..if other than regular Open Water) then select the sessions you taught (ex.1 - private, class-pool-OW 1+2, OW 3+4) for a private class. (ex.2 - class-pool-OW 1+2, OW 3+4) for a regular open water class.

Try Scuba ($20 p.p)

Refresher ($25 p.p)

Private Class (1-2 students) ($95 p.p)

Semi-Private Class (3-4 students) ($95 p.p)

OW Theory Class ($50 p.p if you complete all Training)

OW Pool Session (see Above)

Open Water 1+2 (see Above)

Open Water 3+4 (see Above)

TEC Classes (SM, Intro to TEC, AN, DECO, AN+DECO Combo) ($100 p.p)

Advanced Dives 1+2 ($85 p.p if you complete all Training)

Advanced Dives 3,4+5 (see Above)

Nitrox Class Session ($25 p.p)

Rescue ($100 p.p)

Specialty Class ($85 p.p if you complete all Training)

1/2 Day in the Shop Clerking

Full Day in the Shop Clerking

Referral (PADI or another Agency, please give details of training provided)

O2 Provider / CPR-AED / 1st Aid (Place in comments if you did only some or all 3)

Required

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