• Student Registration Form

  • Welcome to Faithful Scuba!


    Please complete this form prior to your training session to help us prepare your equipment, ensure safety, and provide a smooth training experience.

  • Scheduled Training Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Student Information

  • Format: (000) 000-0000.

  • Contact Information

  • Emergency Contact

    Cannot be the student or another course participant
  • Format: (000) 000-0000.

  • Medical Questionnaire Confirmation

  • Have you reviewed and completed the required Medical Questionnaire provided by your instructor?*

  • Medical Questionnaire Reminder
    Please complete and submit the required Medical Questionnaire before your scheduled scuba session. Training cannot begin until this requirement is completed. Contact your instructor if you need assistance.

  • Medical Acknowledgement

    Please confirm that you understand your responsibility to disclose any relevant medical conditions before participating in scuba training. If your Medical Questionnaire requires physician approval, your completed and signed physician authorization must be submitted before participating in any in-water activity.

  • Physician Approval Requirement

  • Did you answer YES to any items on the Medical Questionnaire requiring physician approval?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Course Overview & Equipment Expectations

  •  

    All equipment is included for your Discover Scuba experience.

    If you have your own mask, snorkel, and fins, please plan to bring them—personal gear always fits better and makes your training more comfortable.

     

  • Students are expected to provide their own mask, snorkel, and fins for this course.

    If needed, rental equipment may be available. Additional rental fees may apply depending on the equipment required.

    Based on your selections below, any missing items will be prepared for your training.

  • Referral Training Record Requirement

  • Referral students must submit a completed Referral Training Record at least 7 days prior to the first day of training.

    This allows Faithful Scuba to verify that all required training has been completed and properly documented before open water dives begin.

     

    If you do not yet have your Referral Training Record, you may complete this registration now. The completed Referral Training Record must be submitted no later than 7 days prior to the first day of training.

     

    IMPORTANT

    • More than 6 months since your last referral training session = $100 skills review is required.

    • More than 12 months since your last referral training session = Referral training has expired and certification dives cannot be conducted until training requirements are met again.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Date of Most Recent Referral Training Session
     - -
    2 digit month, 2 digit day, 4 digit year
  • How many open water certification dives do you still need to complete?*

  • Students enrolled in Refresher, Advanced, Specialty, and Rescue courses are expected to provide their own scuba equipment.

    Rental equipment is available but must be requested in advance.

    Rental Equipment (per day):

    BCD — $25
    Regulator & Dive Computer — $25
    Wetsuit — $28
    Mask, Snorkel, and Fins — $25

  • Select any equipment you need to rent
  • Do you have your own mask and snorkel?*
  • Do you have your own fins?*

  • Sizing – Equipment Sizing Needs

    Please provide the following sizing information so equipment can be prepared for your training.

  • Training Requirements & Policy Acknowledgement

  • Should be Empty: