BOOKING FORM

  1. Title(*)
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  2. First Name(*)
    Please let us know your name.
  3. Last Name(*)
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  4. Full Home Address(*)
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  5. Nationality(*)
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  6. Date of Birth(*)
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  7. Phone
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  8. Mobile
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  9. Email(*)
    Please let us know your email address.
  10. Passport Number(*)
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  11. Passport Expiry Date/Place of issue(*)
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  12. Emergency Contact Name(*)
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  13. Emergency Contact Number(*)
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  14. Special Dietary Requirements (e.g. Vegetarian):
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  15. Expedition Code
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  16. Expedition Start Date:
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  17. Number of Weeks
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  18. Dive Qualifications*
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    (e.g. Non-Diver, PADI AOW, BSAC, SSI, etc..)
  19. Do you wish to undertake further dive training*?:
  20. PADI Rescue Diver course
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  21. PADI Dive Master course
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  22. Do you wish to be contacted to learn more about these further dive training courses?
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  23. * All qualified divers must be at a PADI AOW level or above, if you are certified by another organisation please check the comparison table on our website under the "FAQ's - Diving" section.
    * There are costs involved when undertaking further dive training courses, please see our "Costs & Dates" page on our website for details
  24. Would you like to rent any Scuba diving equipment from us*:
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  25. RENTAL OPTIONS
  26. BCD
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  27. Regulator Set
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  28. Fins & Dive Boots
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  29. Foot Size (if Yes)
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  30. Wetsuit
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  31. Mask & Snorkel
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  32. Dive Computer**
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  33. * All Open Water Dive Trainee's are provided with Buoyancy Control Device (BCD) and Regulator as part of there expedition fee.
    * All volunteers are provided with Scuba Tank, Weights, Weight Belt as part of there expedition fee. All other diving equipment from the equipment list, must be provided by the volunteer or rented from Barefoot Conservation.
    * Please see our "Costs & Dates" page on our website for more details on rental prices.
    ** For safety reasons, it is mandatory for all volunteers to wear a Dive Computer during all dives. The volunteer must either bring their own or rent one from Barefoot Conservation. A £150 refundable deposit is needed when renting a Dive Computer

  34. How did you hear about us? (e.g. Friend, University, Google etc..):
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  35. Would you like information on how to
    be a Barefoot Ambassador and make money from promoting Barefoot Conservation?
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  36. PAYMENT:
    A £100 non-refundable deposit must be sent with this form to reserve your place on the expedition. Full balance of your expedition fee must be paid a minimum of 8 weeks before your expedition start date.
    Bank Transfer details:
    Bank Name HSBC Bank PLC, 100 High Street, Tonbridge, Kent, TN9 1AN, UK
    Acc Name Barefoot Conservation Limited
    Acc Number 91664751
    Sort Code 40-44-20 IBAN:GB62MIDL40442091664751
    Swift Code MIDLGB22
    Please make cheques payable to : Barefoot Conservation Limited
    We can process payments via Paypal but a 5.5% paypal charge is applicable
    DECLARATION:
    I hereby declare that to the best of my knowledge all the information provided is true and I give permission for Barefoot Conservation Ltd to commit this information to file.
    I the undersigned have read, understood and agree to abide by the Barefoot Conservation Ltd "Booking Terms & Conditions", the "Barefoot Conservation Diving Standards", and the country specific "Project Guide", copies of which can be found on the Barefoot Conservation website "here"
    I agree that I know of no reason, medical or other, why I can not take part in Scuba Diving activities with Barefoot Conservation Ltd. I will provide Barefoot Conservation Ltd with the completed PADI Medical Statement forms signed by my doctor if necessary, a copy of my diving & travel insurance policies and any scuba diving certifications, at least one month before expedition start date.
  37. I Agree(*)
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