Formulier

1

Who are you?* Dit veld is verplicht.

First Name

Last Name

2

Who are you?* Dit veld is verplicht.

Date of Birth

Phone Number

3

E-mail address* Dit veld is verplicht.

info@info.com

4

Emergency Contact* Dit veld is verplicht.Just in case

Full name

Phone number

5

What is your highest certification?* Dit veld is verplicht.

Feel free to also fill in your specialties

6

How many dives do you currently have? And when did you start diving?* Dit veld is verplicht.

7

Date of last dive?* Dit veld is verplicht.

8

Anything we should know about your diving experience or journey?

9

Which country will you be travelling from?* Dit veld is verplicht.

10

Dietary restrictions and/or allergies?

11

Special requests?

12

Are you medically fit to dive?* Dit veld is verplicht.Please note: A medical form will be filled in and signed on your arrival.

Yes

No

I'm not sure

13

Preferred Cabin?* Dit veld is verplicht.Please note: cabin requests are subject to availability and will be assigned on a first confirmed basis after payment of the deposit.

Standard Cabin - €1899

Deluxe Cabin - €2700

Master Cabin - €2800

14

If your preferred cabin is unavailable, what would be your second choice?* Dit veld is verplicht.Please note: cabin requests are subject to availability and will be assigned on a first confirmed basis after payment of the deposit.

Standard Cabin - €1899

Deluxe Cabin - €2700

Master Cabin - €2800

15

Would you be happy to share a cabin?* Dit veld is verplicht.

Yes!

No, I want single occupancy - €3500

16

Do you have a preferred roommate?Please leave blank if you don't have one

17

A non-refundable deposit of 30% of the total cabin price is required to confirm your booking. After submitting this form, you will receive payment instructions by email. Your booking is only confirmed once the deposit has been received.* Dit veld is verplicht.

I understand that my booking is only confirmed once my deposit has been paid.

I understand that the deposit is non-refundable.

I understand that cabin requests are subject to availability.

I confirm that all information provided in this form is correct to the best of my knowledge.

I understand that all issues must be mentioned in the duration of the trip so it can be solved inmediately.

18

How did you learn about this trip?* Dit veld is verplicht.Just curious!

19

Please sign