JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Scuba Shane Diving Booking Form
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.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Surname
*
Your answer
Email address
*
Your answer
Mobile number
*
Your answer
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.
Your answer
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.
MM
/
DD
/
YYYY
Any final comments?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms