1 Step 1 ParadiseDiverHK Scuba Review潛水員申請表Divers Registration Form First Name (名) Last Name (姓) Nickname （英文名） Male (男)Female (女) Date of Birth (出生日期) DD/MM/YY Emailemail Phone Number (電話號碼) 是否 ParadiseDiverHK 學生Yes (是)No (不是) ------------- Certification Lv. (潛水資歷)pick one!Certification Lv. (潛水資歷)Open Water Diver (開放水域潛水員)Advanced Open Water Diver (進階開放水域潛水員)Rescue Diver (救援潛水員)Dive Master (潛水長)Instructor or Higher (教練或以上級別) Certification agencies (認證機構)pick one!Certification agencies (認證機構)PADISSISDITDINAUIOther Certificate No. (潛水證號碼) No. of dives (潛水次數)pick one!No. of dives (潛水次數)Just OW (剛完成 OW)1-1010-2020-5050 次以上100 次以上 Last dive (上次潛水) --- Course Information (課程資料) --- Register Date (報名日期) Course (潛水課程)pick one! Course (潛水課程)Scuba Reactive / 潛水重溫 Course schedule - Day 1 (第一日上堂日子) ------------- Gear Rental (裝備租用)Yes (要)No (不要) Full Gear (所有裝備)Yes (需要 Full Gear)No (部分) Needed Equipment (需要裝備)Mask (面鏡)Fins (蛙鞋)Wet Suit (防寒衣) Regulator (調所器)BCD (浮力控制裝置)Torch (電筒) +$30 **只限 NightDive 借用 Height (身高) Weight (體重) ------------- Course Fee (課程費用)Course Fee (課程費用)$1960Other (其他) Other - Course Fee (課程費用) Payment Methods (付款方法)Payment Methods (付款方法)FPS (轉數快)PayMeBank Transfer (銀行過數)Other (其他) Other - Payment Methods (付款方法) How did you hear about us? (從何得知我們 ?)Facebook InstagramSearch engine (搜尋引擎)Referral (朋友介紹)Newspaper / Magazine (報紙雜誌)Other (其他) Other - How to know US ?! (從何得知我們 ?!)0 / Submit Form (提交) Remark (備註) :more details0 / Friend (If any) 同行朋友 (如有) :more details0 / keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
