CERTIFIED DIVER’S QUESTIONNAIRE Please note that Dive tickets will only be issued once you have met our Professional Dive Instructors and completed this form. As per PADI Standards, the medical form must be completed and approved before a guest may dive. To...
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CERTIFIED DIVER’S QUESTIONNAIRE Please note that Dive tickets will only be issued once you have met our Professional Dive Instructors and completed this form. As per PADI Standards, the medical form must be completed and approved before a guest may dive. To dive with Paul Gauguin Cruises, you must have the Diver Medical | Participant Questionnaire examined and signed by a doctor before boarding the ship. The ship's doctor will not be able to sign this form. NAME: SUITE: You must present your certification card when returning this form filled at the Dive Desk on deck 4. PLEASE INDICATE: CERTIFYING AGENCY: PADI SSI NAUI YMCA BSAC CMAS NASDS OTHER: CERTIFICATION DATE : CERTIFICATION ID: LEVEL OF CERTIFICATION: LOGGED DIVES: NUMBER OF DIVES IN THE PAST 12 MONTHS: DATE AND LOCATION OF LAST DIVE: SCUBA DIVING GEAR: Do you need a REGULATOR? NO YES Do you need a BCD? NO YES > SIZE: XS S M L XL Do you need a WET SUIT? NO YES > SIZE: XS S M L XL XXL WEIGHT usually needed
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