Cooper River Diver Registration 2nd Charter

Sunday Oct 27th and Monday Oct 28th.

Complete and submit the online form to register.

A $100 deposit will hold your seat on the charter payable after registration. You must pay for the charter fee of $320 in full prior to October 1st. Cancelations prior to October 1st are acceptable. After October 1st, you may not cancel unless you can find a qualified diver to take your spot. Divers must attend all 2 charter days. If a diver chooses to not take part in any of the days, they lose that day’s charter fee.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth*

Date

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dive certified in what year (openwater)*

Place my name on the cancellation ListPlace my name on the 2nd Charter list Oct 27th and 28thPlace my name on both cancellation list and the 2nd charter list.

Highest Dive Certification*

Total number of dives (lifetime)*

Deepest Dive*

YES I have Dive Insurance

Please verify that you are human*