Booking Form

Please complete this form to book a Try-Dive with our club. A Committee member will contact you to confirm your booking.

Try-Dive Medical Information

Before your Try-Dive we'll ask you to complete a quick medical and responsibility disclaimer.

The form asks if you have ever been diagnosed with any of the following medical conditions - diabetes, blackouts (epilepsy etc), perforated eardrums, high blood pressure, heart disease, any lung or respiratory disorder (such as asthma) or dependence on drugs.

If you have been diagnosed with any of the above it will not necessarily prevent you from scuba diving, however specialist advice must be obtained before taking up the sport, including participation in a Try Dive.

If you have any questions or queries please Contact Us.

Choose a date	Invalid Input
	All available dates are show above.
How many people are you booking for? (*)	12 Please select
	We can accept a maximum of two bookings per week.
	Total: £20
	Total: £40
How would you like to pay? (*)	PayPal/Card (now) Cash/Cheque (Pay on the evening) Prepaid Voucher (already paid) Please select a payment method
	You can pay using your PayPal account or by entering your card details. You will be automatically directed to PayPal once you have completed this form.
Name (*)	Please enter your full name
Email Address (*)	Please enter a valid email address
Phone Number (*)	Please enter your phone number
Preferred Contact (*)	EmailPhone Please select your preferred contact method
Kit Size (*)	SML Please choose your desired kit size
Your Age (*)	Under 18Over 18 Please select your age group
Specified Age (*)	Please enter your age in numbers (eg. 12)
Second Person's Name (*)	Please enter the name of the second try-diver
Second Person's Kit Size (*)	SML Please select the desired kit-size
Second Person's Age (*)	Under 18Over 18 Please select the age of the second try-diver
Second Person's Specified Age (*)	Please enter the age in numbers (eg. 12)
Where did you hear about us?	Invalid Input
Notes or Questions	Invalid Input
Please enter the following characters	Refresh Not Valid