SSI Continuing Education Course Diver Information
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Do you already have a SSI account? *
Course(s) *
Required
Participant First Name *
Participant Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Email *
Phone Number *
Mailing Address *
Please provide your scuba certification agency and certification number. *
Do you need rental gear? We provide tanks and weights for continuing education courses. *
If yes, what items do you need?
If you need to rent a BCD, what is your unisex, fitted T-Shirt size?
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If you need boots and/or fins, what is your shoe size? (Whole sizes, please indicate men's or women's.)
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