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.