First Name: *
Last Name: *
Email:
Phone (Day): *
Phone (Night):
City: *
Start - End Dates *
Classroom Type: *
eLearning Online Classroom
Manual and Classroom
I need to Hire: *
Wetsuit ($50)
Mask Snorkel Fins and Weight Belt ($50)
Im not sure yet

Courses are run over either Two Weekends Saturday to Sunday 9-5 or in One Week Monday to Thursday 9-5

Please Select the type of course that fits you schedule. If there is't one that suits you or you would like to arrange a one-on-one course just select the "CONTACT ME ABOUT THE SCHEDULE" option and we will work something out that suits you best

How I heard about the course: *

The above quetstions just proves that you are human!

Please note: That by submitting this form we will pencil you in to your desired course and contact you shortly to answer any questions you may have. To Secure your place please pop in to Dive Otago to pay a $100 deposit ($150 for eLearners). Alternatively give us a call and pay by Credit Card over the phone. Yay your on your way to being a certified diver!

Medical Criteria does apply and you will need to get a certificate from your GP before you start the course.