PADI Discover Scuba Diving Pre-Registration Form for Scarborough Underwater Club Inc. (S.U.C.I., pronounced "Sous-Sea" :)
Please note that you are pre-registering for SUCI's & UTSC's Discover Scuba Diving (DSD) adventure at TPASC on Wed, Mar 20, 2019 between 7:00 p.m. and 11:00 p.m.

Section 1: Contact Information
Section 2: Medical Statement and Medical Questionnaire
Section 3: Non-Agency Disclosure and Acknowledgement Agreement
Section 4: Liability Release and Assumption of Risk Agreement
Section 5: Scuba Equipment to fit you comfortably

Email address *
First Name, Middle Name (if applicable), and Last Name: *
Your answer
Mailing Address, including Apt #, Street # and Name, City, Province, and Postal Code (required for your PADI DSD eCard registration): *
Your answer
Date of Birth (to confirm you meet the minimum age requirement and to identify Adult or Minor status): *
MM
/
DD
/
YYYY
Mobile Number (in case we need to reach you on short notice): *
Your answer
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