Full information course booking form

First Name *

Middle initial

Surname *

Date of Birth *

Postal Address *

Postcode *

Email Address *

Mobile Number *

How Did You Find Out About Us?

Emergency Contact Name *

Emergency Contact Number *

Certification Agency

Certification Level

Number Of Logged Dives

UK Diving Experience

Yes
No

Date Of Last Dive

Male Chest Size

Female Dress Size

Shoe Size *

Height

Name Of The Course You Wish to Attend *

Course Details

Date Of The Course You Wish To Attend *

Payment and Cancellation Policy - I have read and understand the cancellation/ equipment policy below *

Payment of the full course cost is required to confirm your place on your course. Paying by bank transfer: Name Big Squid Diving LTD, Bank: Starling Account no : 89908667 Sort code 60-83-71 Please enter your name as a reference and email us following the transfer. Paying by card: Please call Big Squid on 020 7627 0700 with your card details. Cancellation Policy Payments are non refundable. Course dates can be changed with 10 days notice. If the notice given is less the payment can only be used against another date if Big Squid manage to fill the cancelled date. Equipment is included in course prices. We will ask you to replace any equipment lost or broken