Application Form Name(Required) First Last Address(Required) Street Address Address Line 2 City Postal Code Email Address(Required) Phone Number(Required)Are you a Certified Diver?(Required) Yes No Certification is not required for the program. The PADI Open Water certification will completed during the first week.If yes, when were you certified?We will review skills and knowledge during the first week of the program.If yes, what is your highest certification?Do you have drysuit training?(Required) Yes No Drysuit training is not required. We will train you how to use a drysuit during the first week of the program.Will you need equipment for the program?(Required) Yes No See Equipment Requirements. Special discounts are available through Ocean Quest for Career Development Scuba Dive Instructor students.Will you have a vehicle during your program?(Required) Yes No Will you need accommodation for the program?(Required) Yes No Your Comments/Questions(Required)Deposit Price: Deposit will secure your place in the program. Deposit goes towards your tuition. Deposit is Non-Refundable.GST Price: Credit Card CAPTCHA