Contact

※Full name

※E-Mail address

※Phone number

※Date of birth

※Age

※Date

※Activity Course
AM 2 Intro DivingPM 2 Intro DivingAM 2 Fun DivingPM 2 Fun DivingFull-day 4 Fun DivingOWD CourseAOW Course
※Rental Gear
NothingBCD Regulater WetsuitsBCD Regulater Wetsuits Mask Snorkel FinDive Computer ¥1,000
※Height (cm)

※Weight (kg)

※Feet size (cm)

Hotel you staying

Arrive Date

Leaving Date

C-card PADI, Naui, CMAS, etc...

Lisence No.

Dive log

Last dive date

Any Questions

We will sent reply after we check our schedule.
If you want to join more than 2people or not inle 1day,please let us know on "Anyquestions"
※I have confirmed the medical check above.