Congratulations on signing up for training at Huron Scuba! This checklist helps make sure that we provide
you with information so you have every opportunity to be fully prepared for your first class session.
Please read this form and call us if you will have any difficulty meeting these requirements.
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Name: |
Phone: |
| For Shop Use: |
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| PIF? |
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| READY? |
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Email: |
Alt Phone: |
Mailing address, city, state & zip: |
Class Name: |
Notes: |
Assigned Instructor(s): |
Deposit Amount: |
Paid Date: |
| Class deposits are non-refundable
and non-transferable. For Open Water Scuba Diver (class &
pool), you may make a one-time transfer to another class date
with at least one week notice. |
Class Balance: |
Due Date: |
Paid Date: |
Staff Initials: |
Rental Form Completed: (Date/Staff Initials) |
Rental Fees Anticipated: |
Rentals Fees Paid: (Date/Staff Initials) |
| Full amount of class & rental fees are due
& become non-refundable two weeks prior to class start date. |
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The fit & function of your equipment is essential to the safety, enjoyment
& quality of education for everyone involved.
A Huron Scuba Divemaster or Instructor must inspect your equipment at least two weeks prior to class (no later than
__________). Unapproved equipment may not be used. A list of acceptable equipment features is
available on request. Remember, students in Open Water Scuba Diver training get unlimited
exchange for fit while in training.
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Personal Equipment |
Purchased (Circle One) |
Date / Staff Initials |
Inspection Results: Yes, No, or Maybe |
Date / Staff Initials |
| Mask | Y / N | | | |
| Snorkel | Y / N | | | |
| Boots | Y / N | | | |
| Fins | Y / N | | | |
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All non-leadership pool training at Huron Scuba includes use of our rental wetsuits, tanks, BCs, regulators and weighting
systems. If you do not purchase your own, this equipment may be rented for open water training; pay for and reserve
specific equipment no later than two weeks prior to your starting date (__________).
For any life support equipment you plan to use during any water training (other than Huron Scuba rental gear), you must
provide proof that it has been serviced by (or purchased from) a factory-certified and authorized dive facility within
the past year. This information should be supplied at least two weeks prior to class (__________). Full service and
bench checks are available at Huron Scuba.
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| Equipment Description |
Inspection Results: Yes, No, or Maybe |
Proof of service? |
Date / Staff Initials |
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At least two weeks prior to your class starting date (no later than __________), please visit
Huron Scuba to submit your signed waiver and medical forms. Unless otherwise
noted, you should read all text(s) and handout(s), and have all homework completed
(including watching the DVD if your course has one), prior to the first class session.
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| Materials Description |
Date Paid / Staff Initials |
Picked Up / Staff Initials |
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SRF Filled Out: Date / Staff Initials: |
Medical clearance required? |
Y / N |
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Date Medical Form Given: |
| Date Medical Form Returned |
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