Double Dip Registration :: Saltfree Divers

Competition Registration Form

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The field First Name is required.
The field Last Name is required.
The field Email Address is required.
The field Address is required.
The field Emergency Contact Name is required.
The field Emergency Contact Number is required.
The field Dive 1 -- Discipline is required.
The field Dive 3 -- Discipline is required.
The field Dive 2 -- Discipline is required.
The field Dive 4 -- Discipline is required.

About You

First Name Required

Last Name Required

Email Address Required

Phone Number

Address

Address 1

Address 2

City

State/Province

Country

Postal Code

Emergency Details

Emergency Contact Name Required

Emergency Contact Number Required

Forms

Please email copies (scanned or photograph) of your forms to paul@saltfreedivers.com. This will need to be both of the following:

Medical forms with Physicians signature
Government issued Photo Identification.

Any other information that we need to know?

Athlete +

Did you want to take advantage of our Athlete+ offer?

Saturday Evening

Attending the Saturday Evening Meal

Extra guests to the Saturday Evening Meal (excluding yourself)

Dive 1

**The announcements are just to help us prepare, you don't have to announce a performance until the 18th July and any announcement you make may also be changed at any time until that date.

Dive 1 -- Discipline Required

Dive 1 -- Announced Performance

Dive 2

Dive 2 -- Announced Performance

Dive 3

Dive 3 -- Discipline Required

Dive 3 -- Announced Performance

Dive 2 -- Discipline Required

Dive 4

Dive 4 -- Announced Performance

Dive 4 -- Discipline Required

Information

Please submit this form only once, if you have any problems with this form then please let us know.

When submitting your medical and identification documents, please feel free to submit either a scanned copy or a photograph of the documents.

Medical documents will need to be signed by a physicician and identification documents will need to be government issued photo identification.

Payment

If you haven't paid then please do so using the following link. If you forget to pay here there is also a link at the bottom of the information page.