Rocky Mountain Diving Club Registration - Evening Diving Program
Time: 5-6:30p.m

Once a week – July ONLY (Every Wednesday) ($110)

Once a week – July & August (Every Wednesday) ($165)

Twice a week – July ONLY (Every Tuesday and Thursday) ($220)

Twice a week – July & August (Every Tuesday and Thursday) ($325)

Name *
Your answer
Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Gender *
Required
E-mail *
Your answer
Emergency Contact (Name) *
Your answer
Emergency Phone *
Your answer
Other Current Sporting Activities
Your answer
Physical restrictions, recent injuries or illnesses, allergies, etc. of which Rocky Mountain Diving Club should be aware:
Your answer
How did you first find out about Rocky Mountain Diving Club?
Location:
Repsol Sport Centre
2225 Macleod Trail, S

Time: 5-6:30p.m

Which program you would like to register? *
Payment *
Required
If you choose: Cash OR Cheque
Please pay directly to Program Coordinator ON THE FIRST DAY OF CLASS or Mail to Rocky Mountain Diving Club Mailbox

Payable to: Rocky Mountain Diving Club

ADDRESS
Rocky Mountain Diving Club
2225 Macleod Trail South, AB
T2G 5B6

If you choose: VISA OR Master Card
Please indicate your Credit Card # , Expiry Date (mm/yy) , Amount below
Credit Card #
Your answer
Expiry Date
Your answer
Amount
Your answer
If you choose: E-transfer
Email:
dcrmdcsummercamp@gmail.com

Question:
What is this for?

Answer:
summercamp

Cancellation Policy
If participant wishes to withdraw from the summer camp. Written notice required, please email rockymountaindiving.info@gmail.com

Participants Withdraw:

2 weeks before program starts will receive a FULL REFUND, a $20 administrative fee will be collected

24 hours to 1 week before program starts will receive a 50% REFUND, a $20 administrative fee will be collected

After program starts will receive NO REFUND

*
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms