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AQUANAUTS SCUBA COURSES MEDIC COURSES CALENDARS BUDDY DIVER
FIRST RESPONDER REGISTRATION
FIRST RESPONDER REGISTRATION
Diver • Receipt
SCUBA RESERVATION:

SCUBA RESERVATION:

PLEASE ENTER CONTACT INFORMATION:
First Name*

 		Last Name*
Company
Address*

City*
State*
Postal Code*

 		Country*
Email*
Day Phone*

 		Evening Phone
1. DATE SELECTION OPTION:

1. DATE SELECTION OPTION:

Please choose the date for your activity. If you have a VOUCHER, you MUST choose Saturday. If you enter a custom date, an additional fee will apply.
Review Calendar Class Options

2. DATE SELECTION:

2. DATE SELECTION:

Select Class Date:
3. Participant Information:

3. Participant Information:

Full Name:
VOUCHER #
Birthdate:
Date
4. IMPORTANT NOTICE

4. IMPORTANT NOTICE

Should you not be able to complete your course on the scheduled date for any of the following reasons, you will receive additional charges. Please see the end of this form to input your credit card information.
  • NO SHOW.  We put equipment on hold for you.  If you do not show up on the scheduled date and/or reschedule with less than 24 hours notice, you will receive a NO SHOW fee of $50.
  • PRIVATE/CUSTOM SCHEDULE:  Your course is discounted based on self-study and group participation.  We make efforts to ensure everyone completes their course together, however if you need enough personal attention that you cannot complete your course with your class, you will be charged an extra session fee of $75 per day of extra training required.  If you need a private session, the cost will be $140 per session. Custom schedule fee for non-group dates.
  • GRATUITY: You WILL be charged an 18% gratuity based on the regular price of your activity, not the sale price. Diving is a gratuity industry. This gratuity will be charged upon receipt of your registration.
5. Credit Card for Reservation

5. Credit Card for Reservation

Please insert credit card information to reserve your seat in class. 
Enter name on card, credit card number, ccv, expiration date, and if the card address is different than your contact address above, enter correct card address. If not all the information is entered, your course HAS NOT been reserved.

You will be charged 18% gratuity based on the regular price of your activity- this charge will occur upon receipt of registration.
If you do not provide 24 hours notice on cancellations or reschedules, your card will be charged for a no show fee. 
If you have chosen to upgrade your course, you can choose whether you would like us to charge this card or alternate payment method.
Copyright © AQUANAUTS SCUBA ACADEMY, LLC, Fort Lauderdale, FL, USA 
1 - 877 - AQUA - TAG
info@aquanauts.biz