We treasure your interest in joining our club. We would love to know more about you. Please add your details below and we'll get back to you in no time.

Membership Details *

Single $150

Family (2 adults 2 children)

Fill out form for each individual when choosing Family Membership (This is done by clicking the "Add Family member" button at the bottom form

Personal Details

First Name *

Last Name *

Email *

Address

Street Address

City

State

Country

Country

Postal Code

Phone *

Date of birth *

Shirt Size As Per Size Chart

Medical Info

Allergies

Pre-existing Conditions

Emergency Contact Details

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number

Relationship *

Emergency Contact Email

Dive Details

Diver

Are you/they a Diver? *

Yes

No

Certification Agency

Certification Level

Total Number of Dives

Total Number of Dives (last 12 months)

Freediver/Spearo

Are you/ They a Freediver/Spearo? *

Yes

No

Certification Agency

Certification Level

First Aid

Do You/They Hold a Current First Aid Certificate? *

Yes

No

Level

Have You Hold A DAN Membership? *

Yes

No

Interests

Are You Interested in Coming Along Club Events?

Yes

No

Do You Have Any Suggestions?

Are you Interested in Furthering Your Training?

Yes

No

If Yes, Which Courses?

Are You Interested in Doing Equipment info/Trials??

Yes

No

What Gear/s Would you Be Interested in?

Are You Interested in Doing Interstate Trips?

Yes

No

Where Would you be interested in Going?

Add Family Member

Yes

How did you learn about our Club?

A Friend or Colleague

Online Ad

Blog Post

News Article

What convinced you to apply for membership?

There are no wrong answers. We ask this to better meet our member's experience.

Membership Rules *

I have read, Understood, and accepted the rules for membership

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