Booking Form for FUN Diving

Please confirm the following contents.
※Please check the medical certificate.※

registration information
Name of Representative (Required)
Country (Required)
Cell Phone Number
Email Address (Required)
Email Address for confirmation(Required)
Name of Accommodation (Required)
Phone No. of Accommodation
Booking Date (Required)  Months  Day Participation dates
The number of participants (Required)
pick-up to hotel Do you need a pick-up to hotel in Naha-city?
 Yes  No
Data of Representative
Data of Representative

Gender    Age 

Are you a certified diver?  Yes  No

License Party   Rank 

Certification card No 

Total number of diving   Diving  

Last date of diving (YM)?   Months 

Experience of boat diving(Y/N)   Yes  No

Do you have a dive computer?(Y/N)   Yes   No  
※If you if you answer No, You need a rental of dive computer.

Do you need rental Camera?    Yes   No   own camera

Do you need rental equipment? (Y/N)   Yes   No  

If you rented equipment, Please choose something necessary, and answer the following question.
 BCD    Regulator    Fin    Mask    Snorkel  
 Wet suits    the others 

 Height cm  Weight  kg   Feet Size   cm 

※I have a question about your eyesight.
Do you need a lens mask, in underwater ? (Yes・No) Yes   No

remarks column

Data of the 2nd participant

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