Client register form

On this page, you can fill out the registered client formulary for making faster all the procedures when you arrive at the center.

If you prefer it, you can download the formulary in PDF format (the link is on this page, too) and then send it to us at:info@buceoelbajon.com.

Clients register

Full name

Date of birth (dd/mm/aaaa)

Address

Postal code

Municipality

Province

Nationality

Profession

Telephone number

Telephone number (emergency)

E-mail address

Do you have a diving qualification? Do you have a diving qualification? Yes No

Certification organization of your diving title

Certificacion level

Total inmersions

maximum depth reached

Last inmersion (month & year)

Do you need rental any diving material? Do you need rental any diving material? Yes No

Jacket (size)

suit (size)

Fins (size)

Pumps (size)

Regulator

Bottle (12L ó 15L)

Observations

Terms and use conditions Terms and use conditions I accept the terms and use conditions.

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