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DIVE FOR PEACE - Swimming and Diving Interest Form
This form is to get information about who is interested in services that our organization offers.
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DIVE FOR PEACE
INFO ABOUT DIVE FORE PEACE
Dive for Peace is an organization that provides illuminating experiences bringing people to the water. We believe that through mindful interactions with the water anyone can develop a deeper sense of Self.
Name
*
Your answer
Phone Number
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Your answer
Email
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Your answer
Swimming Level
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Not a Good Swimmer
Basic Swimmer
Intermediate Swimmer
Advanced Swimmer
Free Diver
Scuba Diver
Camping Experience
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Never Camped
Some Camping
Experienced Camper
Are you interested in meditative experiences with the water?
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Yes
No
Maybe
Which group activities will you be participating in?
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Instructional Water Safety Briefing (Required)
Swimming and Diving Safety (Required)
Yoga
Breathing and Meditation with Andrew
Acro Yoga
Music Jam with BJ (aka Phin)
Required
Tell us what interests you about coming to experience the water through a Dive For Peace retreat.
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Your answer
Release of Liability
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I understand that Dive for Peace is not providing any service or product in association with The Camp and Swim Meetup
I understand that Dive for Peace and any of its associates are not liable for any occurrences of bodily injury and/or death while attending the Camp and Swim Meetup.
I agree to sign a formal release of liability waiver document upon arrival to the group campsite in addition to the Ginnie Springs Liability waiver.
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