Guest registration form

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+20 10 666 54 101 basis@bluebrothersdiving.de

Guest Registration Form

1Activity

2Personal information

3Accommondation

4Emergency Contact

5Dive information

6Additional Services

Activity

Preferred language

Activity(Required)

Diving

Snorkeling

Accompanying person

Personal

Name(Required)

First Last

Street name(Required)

Street no.

Postal code(Required)

City(Required)

Country(Required)

Personal details

Required for the Coast Guard

Citizenship(Required)

Passport no.(Required)

Birthday(Required)

DD slash MM slash YYYY

How to contact you

Email(Required)

Mobile Phone

Accommodation

Hotel / Apartment(Required)

Room No. / Apartment No.

City(Required)

Arrival date(Required)

DD slash MM slash YYYY

Departure date(Required)

DD slash MM slash YYYY

Transfer

No

Yes

Should we pick you up from your accommodation and bring you back, or will you come to the Dive Center or Boat by yourself?

Emergency Contact

Who is not with you on the boat

Name(Required)

First Last

Relationship(Required)

Phone(Required)

Email

Dive information

Diving association(Required)

Certification(Required)

Membership no.

Number of dives(Required)

Last dive(Required)

DD slash MM slash YYYY

Number of planned dives

Tank

Additional Services

Equipment rental

Complete equipment

Jacket

Regulator

Wetsuite

Dive Computer

Torque

Do you want to rent equipment?

Airport Transfer

No

Yes

Do you wish a Airport Transfer? 25€ / way Car, 40€ / way Bus

Additional information, enquiries or applications

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