Professional DiveMaster Certification Course Purchase Professional DiveMaster Certification Course NameStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePhone *Email Address *Is this registration for you? *Yes – I am the participantNo – I am registering for someone elseParticipant First NameParticipant Last NameParticipant Email AddressOptional. If different from the account holder, we’ll use this to contact the participant directly.Participant Date of BirthDate of BirthBCD (Shirt) SizeIf unsure what size BCD you need, choose fitted shirt size.XXSXSSMLXLXXLFins/Booties (Shoe) SizePlease indicate shoe/fin size (indicate if child/adult sizing)ex. Adult size 10Participant BCD (Shirt) SizeIf unsure what size BCD is needed, choose fitted shirt size.XXSXSSMLXLXXLParticipant Fins/Booties (Shoe) SizePlease indicate shoe/fin size (indicate if child/adult sizing)ex. Adult size 10Basic Open Water Agency & Cert#Advanced Open Water Agency & Cert#Rescue Open Water Agency & Cert#First Aid/CPR Agency & Cert#O2 Agency & Cert#Nitrox Agency & Cert#Certification Agency Purchase ChoiceBoth are internationally recognized and you can dive anywher on either one after certification – with a professional DiveMaster or Instructor to guide you.PADI (Professional Association of Dive Instructors) – $3,495.50SDI (SCUBA Diving International) – $2,995.50Base Course Cost- SDI DiveMaster Certification CourseBest Promotional Rate-Limited Time Only- DiveMaster (SDI) Certification CourseBase Course Cost- PADI DIveMaster Certification CourseBest Promotional Rate-Limited Time Only- DiveMaster (PADI) Certification CourseCourse ConductPlease include internship. (If adding the internship, note that any dive excursions beyond the one boat and 2 beach included with your DiveMaster base course will require you to purchase any boat tickets and/or provide for the gear and tanks needed.)YesNoDo you need rental gear?It is presumed that by this level you have your own gear. If not, we offer rental equipment at a discounted rate for the duration of your course.I have all my gear – do NOT need rental gear.I have my personal gear, need essentals (BCD, RSA)I need ALL rental gear.Complete Rental Gear – need allEssential Rental Gear (BCD,RSA)Additional Notes/Accommodations (Optional)Anything we should know to support you (mobility concern, anxiety, learning needs, etc.)?Required AcknowldedgementsScheduling *Regardless of your answers to the medical questionnaire, you will be required to get a doctor to sign off on your medical form as this is a professional rated certification. Scheduling *I understand this course is a Professional Rating, and will need to be available to attend class sessions to complete necessary skills to achieve.No Show/Late Notice *Minimum of 48 hours notice is required on a reschedule or no show/late fees may apply. Fee for no show or last moment cancellation is $50 per instance. Registration Verification *I understand that my registration will be verified and approved prior to scheduling. If not all of your certification prerequisites can be verified, this will need to be resolved prior to completing your course.Consent *Yes, I agree with the privacy policy and terms and conditions.Media Disclosure/Consent *I consent to photography, video recording, and audio recording during group training activities.By providing consent, you grant both AQUANAUTS (a Florida for-profit entity operating as Aquanauts Scuba Academy) and AQUANAUTS ADAPTIVE AQUATICS (a Florida non-profit entity operating as Adaptive Scuba Programs) the right to capture, use, reproduce, and distribute photographs, video, and audio recordings of you, including your voice, in any media and for any lawful purpose, without compensation. You waive the right to inspect or approve finished materials. All such recordings are the property of the organization that captured them.DiveMaster Certification Course Purchase SubtotalDiveMaster Certification Course Purchase SubtotalPayment Preference *Pay now upon submissionRequest invoice / pay laterCredit / Debit Card *Your card will be chaged the estimated amount shown above. Final charges may be adjusted after verification of your registration.SubmitPlease do not fill in this field.