First Name
*
Last Name
*
Title / Pronouns
*
Date of Birth
*
Email
*
Mobile Number
*
Country
*
Motivation
*
What is your personal motivation to partake in the Shark Program?
Current SCUBA qualification
*
Open Water
Advanced
Rescue
Master Diver
Divemaster
None
SCUBA Agency
If you are already a certified scuba diver, which agency did you qualify with? (This does not affect your placement in the program- we accept all internationally recognized scuba qualifications)
Preferred Program Duration *
*
1 Month - Open Water and Advanced OW - $2900 USD
2 Months - Open Water to Master Diver - $5200 USD
3 Months - Open Water to Divemaster - $6700 USD
Allergies
Medical Conditions
Please see Medical History Form to ensure you are fit to SCUBA
Eating Preferences
Starting Date (First Preference)
*
Starting Date (Second Preference)
*
Starting Date (Third Preference)
How did you hear about us?
*
Comments
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