| Personal
Information |
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Indicates
Required Fields. We will use your personal information to
contact you to arrange payment and to establish eligibility for
some classes. We value your personal privacy so we do not
collect credit card, or health information via the web.
Additionally, we WILL NOT sell or share your personal information. |
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| To process your request,
we need to have your e-mail address. Select the courses
and specialties you wish to register for. |
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| Which HydroSports course(s) do you want to
register for? |
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| Which Specialty
Diver course(s) do you want to
register for? |
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| Which Divers Alert
Network (DAN) Provider Courses do you want to
register for? |
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Oxygen
First Aid for Scuba Diving Injuries |
Basic
Life Support for Dive Professionals |
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Oxygen
First Aid for Aquatic Emergencies |
Remote
Emergency Oxygen (REMO II) |
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Advanced
O2 First Aid for Scuba Diving Injuries |
On-Site
Neurological Assessment for Divers |
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First
Aid for Hazardous Marine Life Injuries |
Dive
Accident First Aid for Non-Divers |
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Automated
External Defibrillators for Scuba Diving |
Diving
Emergency Management Provider Program |
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AEDs
for Aquatic Emergencies |
Dive
Emergency Specialist |
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Which
DAN Instructor Courses do you want to
register for?: |
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DAN Instructor Candidates must
be current dive industry professionals and CPR
Instructors |
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Oxygen
First Aid for Scuba Diving Injuries |
Basic
Life Support for Dive Professionals |
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Oxygen
First Aid for Aquatic Injuries |
Remote
Emergency Oxygen (REMO II) |
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Advanced
O2 First Aid for Scuba Diving Injuries |
On-Site
Neurological Assessment for Divers |
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First
Aid for Hazardous Marine Life Injuries |
Dive
Accident First Aid for Non-Divers |
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Automated
External Defibrillators for Scuba Diving |
Diving
Emergency Management Provider Program |
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AEDs
for Aquatic Emergencies |
Dive
Emergency Specialist |
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In which month would you like to
start your course?
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| Medical Information |
The purpose of this Medical
Questionnaire is to find out if you need to obtain a doctor's
authorization
before participating in recreational dive training. A positive response to a question
on the questionnaire means that you must obtain a doctor's
signature on page two of the questionnaire before in-water
training begins. A positive answer does not necessarily disqualify you from diving.
Please download the form by clicking on the Medical
Questionnaire link and fill it out. You will need Adobe
Acobat Reader to down load the Medical
Questionnaire. We will discuss this form with you
when we contact you.
Again, "Yes" answers may not
necessarily disqualify you from diving. Only you and your
physician can determine this.
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| Additional Information |
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| A deposit of $50.00 is required to
secure a spot in a specific class. We will contact you upon receipt of this
registration form to make arrangements for the deposit and for
you to receive your training materials. We will also
discuss your Medical Questionnaire at that time.
Selection of your personal scuba equipment is an important
decision. Fit, comfort and functionality are critical. We ask
that you meet with our instructional
staff before you purchase any equipment. HydroSports offers
special pricing to students and guarantees your satisfaction
with your equipment purchase.
Please feel free to call, write or stop by to talk with us
about any questions you have.
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| Comments or questions?
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