Course Sign Up

Error message

  • Notice: Trying to get property of non-object in _weather_parse_forecast() (line 219 of /home/html/kurzypotapania.com/public_html/sites/all/modules/weather/weather_parser.inc).
  • Warning: Invalid argument supplied for foreach() in _weather_parse_forecast() (line 219 of /home/html/kurzypotapania.com/public_html/sites/all/modules/weather/weather_parser.inc).

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:

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.