Scuba Shane Diving Booking Form

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Please complete this form if you would like to make a booking for any of our courses or social dive trips. The "Calendar" page on our website www.scubashanediving.com.au shows you all upcoming courses and trips.

First name *

Surname *

Email address *

Mobile number *

Do you have a diving certification? If yes, please choose your highest certification below. If you have no diving certification, please skip this question.

Open water diver

Advanced diver

Rescue diver

Dive master

Other:

Clear selection

Please indicate which course you would like to book. If you are not interested in booking a course, please skip this question.

Refresher course

Open water course

Advanced adventure diver course

Rescue diver course

Diver master course

Other:

Clear selection

Please indicate which social dive trip you would like to join. The "Dive Locations" menu on our website www.scubashanediving.com.au has information about the below dive sites. If you are booking a dive course or are not interested in booking a social dive trip, please skip this question.

Flinders Reef

Cook Island

Nine Mile

Manta Bommie

Flat Rock

HMAS Brisbane

Clear selection

Please indicate if you require gear hire. Please note that the cost for gear hire is AU$70. * Gear hire is included in ALL courses. *

I DO require gear hire.

I DO NOT require gear hire.

Gear included in scuba course

If you answered yes to the previous question, please indicate a) your Australian or UK clothing size and b) your shoe size. If you do not require gear hire, please skip this question.

If you have a preferred date when you would like to book your dive course or social trip, please let us know below. Please visit the "Calendar" page on our website www.scubashanediving.com.au to see all upcoming events. If you can't see a date that is suitable for you, please skip this question.

YYYY

Any final comments?

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