Each participant must fill in the following information as accurately as possible

    Personal information

    Country:

    Preferred language of communication:

    Sex:

    Birthdate:

    Contact in case of emergency

    Which activity will you do?

    Dive dates

    What day do you come to do your Try Dive program with Xaloc Dive Center?:

    Which day will you start your diving course with Xaloc Dive Center?:

    Which day will you start your diving course with Xaloc Dive Center?:

    What day do you come diving with Xaloc Dive Center? (If you have booked a multi-day dive package, please indicate the first day of diving):

    Diving information

    Certification agency:

    Diving certification:

    Upload file with copy of dive certificate (Supported formats (Max. 2Mb): pdf, jpg, jpeg, png)

    Do you have a Nitrox certification?:

    Have you done any courses in the past with Xaloc Diving Center?:

    Number of logged dives:

    Date of last dive:

    Health status information for recreational diving

    Do you have an up-to-date medical dive certificate? (less than two years at the time of the dives)

    Upload file with copy of medical certificate (Supported formats (Max. 2Mb): pdf, jpg, jpeg, png)

    I agree and understand that I must complete the health status questionnaire for recreational diving at Xaloc Diving Center.

    Diving insurance information

    Do you have up-to-date diving insurance?

    Upload file with a copy of the diving insurance(Supported formats (Max. 2Mb): pdf, jpg, jpeg, png)

    I understand that in Spain it is mandatory, according to the Ministerial Order of November 22, 1997, that you must have a diving insurance in force. Since I do not have diving insurance, I have not updated it, I must present it to Xaloc Diving Center or contract it with Xaloc Diving Center on the first day of the diving activity.

    Diving equipment information

    Except cylinder and weights, do you have all the diving equipment ?: (Suit, Mask and snorkel, Fins - with boots -, BC, Regulator, Diving computer)

    Dive Suit (size)

    Fins - Boots (size)

    Mask and Snorkel

    Buoyancy Compensator

    Regulators

    Diving Computer

    Privacy policy:

    The person in charge of the Xaloc Diving Center file will use this information to respond to contact requests. The sent data will be saved on the server hosted within the EU. You can access, rectify or delete them if you wish by accessing the Privacy Center.