Xaloc Diving
Dive Center
Our boat
The Filling Station
Facilities
Our Team
Responsible diving
Environmental Policy
Diving in the Natural Park
Required documentation
Our dive sites
Montgrí coastal zones
Medes Islands
Current legislation
Price lists
Diving Rates 2023
Group rates 2023: Acommodation + Diving
How to get to Xaloc
Buy your diving insurance online
Technical service: regulators, BCDs and computers
Xaloc Diving School
Start Diving
Try Scuba Diving !
Open Water Diver Course
Advanced Training
Specialty Diver Courses
Specialty Diver: Combo Pack with 2 Specialty Courses
Advanced Diver: Combo Pack with 4 Specialty Diver Courses
SSI Professional Diving Courses
Divemaster Training Course
Assistant Instructor Course
Instructor Courses
Specialty Instructor Courses
Assistant Instructor Trainer Course
Crossovers for Diving Professionals
From Zero to Hero
I’m Open Water and I want to become a Divemaster
I’m actually Open Water I want to become an Instructor
I’m Advanced and I want to become Divemaster
I’m Advanced and I want to become an Instructor
I’m Rescue Diver and I want to become Instructor
Estartit-Medes Islands
Natural Heritage
The Montgrí Massif
Marine environment
Ter river low course
Historical & Cultural Heritage
Acommodation in Estartit
Nereida Hotel
La Masia apartments
Find accommodation in Estartit
Activities in Estartit
Local producers and artisans
Natural Park PDFs
Forms
Contact
Medical Questionnaire
Online Registration
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Online Registration
Each participant must fill in the following information as accurately as possible
Personal information
Country:
---
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belau
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Martin (Dutch part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (UK)
United States (US)
United States (US) Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna
Western Sahara
Samoa
Yemen
Zambia
Zimbabwe
Preferred language of communication:
—Por favor, elige una opción—
English
Català
Español
Français
Sex:
Man
Woman
Birthdate:
Contact in case of emergency
Which activity will you do?
Try Dive
Open Water Course
Advanced or higher course
Fun Dives
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
:
—Por favor, elige una opción—
ACUC
BSAC
CMAS
IDEA
NAUI
PADI
PDA
PSS
SDI
SSI
Other
Diving certification
:
—Por favor, elige una opción—
Open Water Diver or equivalent
Advanced Open Water or equivalent
Rescue Diver or equivalent
Divemaster or equivalent
Instructor
Upload file with copy of dive certificate
(Supported formats (Max. 2Mb): pdf, jpg, jpeg, png)
Do you have a Nitrox certification?:
—Por favor, elige una opción—
Yes
No
Have you done any courses in the past with Xaloc Diving Center?:
—Por favor, elige una opción—
Yes
No
Number of logged dives:
—Por favor, elige una opción—
None
Only Try Dive
Between 1 and 25
Between 25 and 50
Between 50 and 100
More than 100
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)
—Por favor, elige una opción—
Yes
No
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?
—Por favor, elige una opción—
Yes
No
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)
—Por favor, elige una opción—
Yes
No
Dive Suit (size)
I don’t need any suit
Size XS
Size S
Size SM
Size M
Size ML
Size L
Size XL
Size XXL
Fins - Boots (size)
I don’t need fins and boots
Size XS
Size S
Size SM
Size M
Size ML
Size L
Size XL
Size XXL
Mask and Snorkel
I don’t need them
Yes, I need them
Buoyancy Compensator
I don’t need it
Size XS
Size S
Size SM
Size M
Size ML
Size L
Size XL
Size XXL
Regulators
I don’t need them
Yes, I need them
Diving Computer
I don’t need it
Yes, I need it
Privacy policy:
By submitting this form, I agree that we may collect, store and process the data you have provided to us. I have read and accept the
Privacy and Cookies 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
.
Search for:
Search for:
Xaloc Diving
Dive Center
Our boat
The Filling Station
Facilities
Our Team
Responsible diving
Environmental Policy
Diving in the Natural Park
Required documentation
Our dive sites
Montgrí coastal zones
Medes Islands
Current legislation
Price lists
Diving Rates 2023
Group rates 2023: Acommodation + Diving
How to get to Xaloc
Buy your diving insurance online
Technical service: regulators, BCDs and computers
Xaloc Diving School
Start Diving
Try Scuba Diving !
Open Water Diver Course
Advanced Training
Specialty Diver Courses
Specialty Diver: Combo Pack with 2 Specialty Courses
Advanced Diver: Combo Pack with 4 Specialty Diver Courses
SSI Professional Diving Courses
Divemaster Training Course
Assistant Instructor Course
Instructor Courses
Specialty Instructor Courses
Assistant Instructor Trainer Course
Crossovers for Diving Professionals
From Zero to Hero
I’m Open Water and I want to become a Divemaster
I’m actually Open Water I want to become an Instructor
I’m Advanced and I want to become Divemaster
I’m Advanced and I want to become an Instructor
I’m Rescue Diver and I want to become Instructor
Estartit-Medes Islands
Natural Heritage
The Montgrí Massif
Marine environment
Ter river low course
Historical & Cultural Heritage
Acommodation in Estartit
Nereida Hotel
La Masia apartments
Find accommodation in Estartit
Activities in Estartit
Local producers and artisans
Natural Park PDFs
Forms
Contact
Medical Questionnaire
Online Registration