Course Sign Up

e-mail : info@kurzypotapania.com
tel. :+421 944 181 046


This sign up is only for informational purposes until the payment .
This registration becomes binding agreement when the course fee is payed. The last day for course payment is the day of the begining of the course. Fields marked with * are necessary to fill in.


 

PERSONAL INFORMATION

 

PLEASE FILL IN YOUR LAST DIVING CERTIFICATE INFORMATION

 

I AM SIGNING UP FOR THE FOLLOWING COURSES :

 

I REQUIRE THE FOLLOWING DIVE EQUIPMENT:

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