REGISTER PANAMA SUBMARINO GROUP

Utilize this form to register with PANAMA SUBMARINO diving group. Your registration will allow your participation with our group underwater activities, as well enjoying great discounts to our dive adventures provided by our sponsors. You\'ll also receive our news letter, where you can share your dive adventure video and photos. Thanks for registering with PANAMA SUBMARINO

Date, Fecha:*

Name:*

Last name:*

E-Mail:*

Phone:

Adress, street and house No.*

City:*

Country:*

Certifying agency:

NAUI
PADI
YMCA
Military
Other. Otro

Certification number:

Diving level of experience:

Open WaterAdvanced Open WaterDive MasterDive InstructorElija

Specialty / Especialidad:

Deep Diver Wreck Diver Night Diver Fish Identification Drift Diver Dry Suit Diver Altitude Diver Search and Recovery Cave Diver Fresh water diver Cold water diver NITROX Underwater videography specialist

Comments. Comentarios: