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The Basics
Personal Information
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Emergency Contact Details

Please provide us with two (2) persons you would like us to contact in case of an emergency. NB: This information is only visible by the Dive Team


Medical Statement
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No

Diving is an exciting and demanding activity. When performed correctly, applying correct techniques, it is relatively safe. When established safety procedures are not followed, however, there are increased risks. To scuba dive safely, you should not be extremely overweight or out of condition. Diving can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air spaces must be normal and healthy. The purpose of this Medical Questionnaire is to find out if you should be examined by your doctor before participating in recreational diving or training. A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a pre-existing condition that may affect your safety while diving and you must seek the advice of your doctor prior to engaging in dive activities. Please answer the following questions on your past or present medical history with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving. Our instructors will supply you with an RSTC Medical Statement and Guidelines for Recreational Scuba Diver’s Physical Examination to take to your physician.

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Have you had or do you currently have...(Please select and answer for each)

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Please answer the following questions on your past or present medical history with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving. Your instructor will supply you with an RSTC Medical Statement and Guidelines for Recreational Scuba Diver’s Physical Examination to take to your physician.

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Documents

If you need to add supporting documents to your registration (dive medical for example if you have answered 'Yes' to any of the Medical questions) then you can upload them here. The system will accept PDF, DOC or JPG formats. NB: The documents that are uploaded in this section are ONLY visible to the Dive Team and yourself. They are hidden from everyone else.

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