Scuba Experience Registration
Event Timing: January 9, February 20, March 6, April 3, May 22, 2022
Time: 1:00 - 3:00 PM
Event Address: Olympic Swim Club, 517 Twin Oak Drive, Pittsburgh, PA 15235
Contact us at (724) 787-8244 0r info@curiousmindsdivefoundation.org
After the scuba experience we will have pizza and an opportunity to talk about the program
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Date requesting for scuba experience
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Name of person completing this form *
Email *
Name of participant *
Age of participant *
Equipment: Shirt Size *
Equipment: Shoe Size *
What is the participant's swimming ability *
I'm afraid of the water
Ready to swim in the Olympics
Does the participant have any food allergies, if yes please describe *
Required
If available, do you need a scholarship to cover some of the cost to attend this activity? *
I understand that I will have to pay $30 upon arrival, which covers pool, equipment, and pizza. *
Required
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