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!!!!!
* Required
Instructor's Name:
*
Ron
Rob
Chris
Evan
Ryan
Mikey
JT
Will
Other:
Student's Full Name:
Your answer
Certification Date:
*
MM
/
DD
/
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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