Class Schedule — Tallahassee SCUBA

Personal Information

First Name *

Last Name *

Nickname (the name you prefer to be called, if different than your given name).

Email Address *

Phone Number * (Please list your cell phone number if possible, or the number best to reach you.).

Date of Birth *

Address & Preferences

Street Address *

City and State (or Country) *

Zip Code *

Is it okay to send you a text message? * (Some people don't have text plans or prefer not to receive texts. We respect that, but please indicate if it is an issue.).

When would you like to begin? * Visit http://scubawithgabrielle.com/schedule.html for schedule or reply here with specific dates you'd like to begin.

Is there a date by when you need to be certified for a trip or other event? If so, when?

If you have any special needs, medical conditions, or want to share information such as if you are signing up with a dive buddy, please list details here.

If you are a veteran or someone with a disability who would like to be considered for a scholarship, please share the nature of your disability and any limitations including physical and financial.

Certification Information

I am already certified

SCUBA registration

SCUBA Course Registration

Courses *

Personal Information

Address & Preferences

Certification Information