YAY SCUBA! - Registration form
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First Name *
Middle initial
Last name *
date of birth
MM
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DD
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YYYY
Gender
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Mailing address
City
State
Zip code
Country *
Phone
email *
Do you want PADI marketing emails?
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Do you want YAY Scuba emails about classes, trips and diving?
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Mark the class you are taking
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Please tell us the date you would like to reserve:
MM
/
DD
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YYYY
BCD Gear sizing for Discover Scuba and Open Water - Please mark your size, if in doubt go by weight.
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Discover Scuba Fins sizing - Listed by mens size first then women. (Discover Scuba Classes Only)
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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!. *
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