YAY SCUBA! - Registration form

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First Name *

Middle initial

Last name *

date of birth

YYYY

Gender

Male

Female

Clear selection

Mailing address

City

State

Zip code

Country *

Phone

email *

Do you want PADI marketing emails?

Yes

Clear selection

Do you want YAY Scuba emails about classes, trips and diving?

Yes

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Mark the class you are taking

Discover Scuba

Open Water Diver

Advanced Open Water

Rescue Diver

Nitrox

Specialty Class

Refreseher/Reactivate

Other:

Clear selection

Please tell us the date you would like to reserve:

YYYY

BCD Gear sizing for Discover Scuba and Open Water - Please mark your size, if in doubt go by weight.

XS - 5'0"-5'5" // 100-125 lbs

S - 5'2"-5'7" // 120 - 155 lbs

M - 5'7"-6' // 150 - 175 lbs

L - 5'11"-6'2" // 180 - 210 lbs

XL - 6'2" - 6'5" // 195-240 lbs

XXL - 6'2" - 6'5" - 220 - 260 lbs

Clear selection

Discover Scuba Fins sizing - Listed by mens size first then women. (Discover Scuba Classes Only)

S - M 5-6.5 // W 6.5-8

M - M 6.5 - 8 // W 8 - 9.5

M/L - M 8 - 9.5 // W 9.5 - 11

L - M 9.5 - 11 // W 11 - 12.5

XL - M 11.5 - 13 // W 13 - 14.5

N/A (not doing Discover Scuba)

Clear selection

If any sizing doesn't match the two questions above please let us know here:

I, hereby grant permission to YAY SCUBA!, to take and use: photographs, video and/or digital images of me for use in news releases and/or educational materials and any other publication as YAY SCUBA! sees fit. These materials might include printed or electronic publications, Web sites or other electronic communications. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the image(s). I hereby voluntarily release and hold harmless YAY SCUBA! and its employees from any and all liability arising out of or in any way related to the use of such photographic images, video and comments, including but not limited to any liability arising by virtue of any blurring, distortion, alteration, illusion, editing or use in composite form, whether intentional or otherwise, that may occur in the making or processing of the finished product. I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of YAY SCUBA!. *

YES

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