Scuba Training Center | Dive Shop

Course Participant Full Name:*

Course Participant Address:*

Course Participant Email Address ( will be used to access Red Cross Learning center and their Certification)*

Course Participant Cell Phone Number*

Course Participant Date of Birth ( Must be 15 years old by the final in person class day)*

Class Date you would like to be enrolled in?*

I understand there is a pre-requisite skills test conducted on the first day of class that is required to participate in the course and no refunds will be given for students unable to complete the skills test.*

I understand this class has online homework that must be fully completed PRIOR to the first in person class session. Participants who have not completed the online homework will not be allowed to participate in the course.*

I understand this class is "Blended Learning" style and I must complete all online homework AND attend ALL in person sessions to pass the course.*

I understand that registering for this course does not guarantee that a certification will be issued. All participants must complete all skills proficiently and certificates are issued at the instructors discretion. *