Expedition Booking Form Title First Name Last Name Full Home Address Nationality Date of Birth Phone (0-9 only) Mobile (0-9 only) Email Passport Number Passport Expiry Date/Place of issue Emergency Contact Name Emergency Contact Number Special Dietary Requirements Expedition Code Expedition Start Date Number of Weeks Dive Qualification & Level Do you wish to undertake further dive training*?PADI Rescue Diver course Yes NoPADI Dive Master course Yes NoDo you wish to be contacted to learn more about these further dive training courses? Yes No* 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.Would you like to rent any Scuba diving equipment from us*? Yes NoRENTAL OPTIONSBCD No Yes (Size XS) Yes (Size S) Yes (Size M) Yes (Size L) Yes (Size XL)Regulator Set Yes NoFins & Dive Boots Yes NoFoot Size (if Yes) Wetsuit No Yes (Size XS) Yes (Size S) Yes (Size M) Yes (Size L) Yes (Size XL)Mask & Snorkel Yes NoDive Computer** Yes No* 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.How did you hear about us? Would you like information on how to be a Barefoot Ambassador and make money from promoting Barefoot Conservation? Yes NoPAYMENTA £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: GB02HBUK40442091664751 Swift Code: HBUKGB4159V Please make cheques payable to: Barefoot Conservation Limited We can process payments via Paypal but a 5.5% paypal charge is applicableDECLARATIONI 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.I Agree YesSubmit Booking
