Registration PADI SEAL TEAM CAMP

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PADI SEAL TEAM SUMMER CAMP Registration

First Name

Last Name

Parent Contact Name

Child's Email (if none enter parents')

Street Address

City

Region/State/Province

Postal / Zip code

Code

Phone

Camper's Birthdate

Can the camper swim at least 25 yards without stopping?

yes

no

Parent Email

Secondary Phone

Camper Shoe Size

Camper Height & Weight

What size T-Shirt is Camper?

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Which camp session are you registering for? (Note: Aug 19 is full)

June 10-14

June 24-28

July 29-Aug 2

Please note any allergies here as well as any other special concerns we need to be aware of for you.

I understand that a non-parent physician may need to sign a clearance to dive if camper has medical conditions on the medical questionaire. I understand if required, the clearance must be received by the dive center no later than the day prior to camp. SoMy child has no "yes" answers toI have read and agree to terms, conditions, and waivers.

Your Signature

I will register additional campers:

IMPORTANT: The waiver buttons will open a new window in which you can digitally complete the waivers.

After you sign these waivers you MUST COME BACK TO THIS PAGE to hit "Submit Registration" and make payment or your registration will not go through.

Required Waiver 2

Required Waiver 1

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1741 Second Street SW #SSE

Rochester, MN 55902

833-SSE-DIVE

dive@ssedive.com

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PADI SEAL TEAM SUMMER CAMP Registration

IMPORTANT: The waiver buttons will open a new window in which you can digitally complete the waivers. After you sign these waivers you MUST COME BACK TO THIS PAGE to hit "Submit Registration" and make payment or your registration will not go through.

IMPORTANT: The waiver buttons will open a new window in which you can digitally complete the waivers.

After you sign these waivers you MUST COME BACK TO THIS PAGE to hit "Submit Registration" and make payment or your registration will not go through.