PERSONAL INFORMATION

Personal information must match the details on your passport or documentation that you will travel with.

Hotel Phone Number: +20 106 258 2922

Dive center Whats App: +20 106 258 2922

Dive center Email: [email protected]

Blue Vision Diving Hotel

Arrival Date *

dd-MM-yyyy Date of First Diving Day

First Name *

Last Name *

Passport Number *

Passport Copy *

Date Of Birth *

dd-MM-yyyy

Hotel

Reference Number

Please leave the field empty if you do not know your booking reference number.

Diving Certificate

Please enter your diving certification level or "Non-Diver" if you are not certified.

Date of last dive

dd-MM-yyyy

Tanks

Tanks-12 litre air standard otherwise, select from below. Extra charge for 15 litre tanks.

Number of Dives

Phone *

Email *

Diving insurnace

Name and policy number.

Emergency Contact

Emergency Name

Emergency Relationship

Emergency Phone

Emergency Email

Equipment rental

Please specify the size of the equipment you require.

Regulator

Yes

Mask

Yes

Dive Computer

Yes

BCD

Wetsuit

FIns

Boots

Special Request

Diver Medical Questionner

You MUST view the MEDICAL FORM before you dive. This document outlines conditions that may require you to visit a hyperbaric chamber or consult with a physician, potentially delaying your first day of diving.

You ACKNOWLEDGE that failing to review this document might result in you not being allowed to join the diving boat/shore on your scheduled day if a medical condition is discovered that requires clearance.

Optional Pre-Dive Preparation

DOWNLOAD the form in your preferred language. FILL it out at your convenience and, if applicable, attach medical clearance from your physician.

Upload your completed medical questionnaire and any clearance in the file upload field below.

IF you choose not to upload your form in advance, you must fill out the medical questionnaire on-site.

accept Medical Screening *

By checking this box, you confirm that you have at least read, understood the medical screening form, and agreed to these terms.

Medical form upload

By checking this box, you acknowledge that you have read, understood, and agree to the terms outlined in the document "Terms & Conditions"