The Careful Diver Class Request
This form is to give you a way to send me your availability.  I will then take that information and put together groups that can take classes together. For most classes, I have a 5-person minimum so when you sign up, I will put together 5-person groups, adding other folks to your group or adding you to other groups. 

For any pool work, all equipment will be included in the price. For all open water and shore diving, equipment is not included.
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Email *
Phone Number *
What is your current certification level? *
Ages of participants? *
Required
How many people in your group? *
When would you like to get this done?
Please select all that apply. If you are available more than one week, let me know. (Weeks start on Monday).
Weekdays of Week 1
Weekdays of Week 2
Weekdays of 3
Weekdays of Week 4
Weekdays of Week 5
Weekend 1
Weekend 2
Weekend 3
Weekend 4
Weekend 5
January
February
March
April
May
June
July
August
September
October
November
December
What class do you want to sign up for? *
Required
Anything else I need to know?
Submit
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