I consent to use of this registration form for the Freedive-Harvester Package in which i am registered. *

if you are not taking a Freedive-Harvester Package click "Not Applicable"

Yes

Not Applicable

Participant Name *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Phone Number *

(###)

###

####

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have read and understand the Equipment Requirements for the course(s) in-which I am enrolled and understand I will be providing my own freediving equipment for the course. *

Equipment Requirements link located above form.

Yes

I require equipment for my course *

No

Yes, I'd like to rent and will contact Bottom Dwellers via email

Yes, I'd like to connect to purchase gear using my discount at Spearfishing Canada

I have read and fully understand the "Waiver Set" viewable at the link on this page. Should I not understand the waiver set or have any questions I will contact Bottom Dwellers Freediving prior to completing this form and registering for my program. *

The "Waiver Set" is located at multiple different locations on this website and this page. Please read it through

Yes

I have reviewed the required Medical Form *

If my answer is NOT 'yes' I will contact Bottom Dwellers Freediving before completing this form

Yes

I Agree to the Refund and Cancelation Policy *

Links to the cancellation and refund policies are located in the footer of the website

Agree

Do you have any Allergies? *

Yes

No