Your First Name
Your Middle Initial
Your Last Name
Your eMail Address
Home Address
ZIP / Post Code
City
Country
Date of Arrival
(DD/MM/YYYY)
Date of First Diving Day / Course start
(DD/MM/YYYY)
I would like to be picked up from my hotel
(The regular pick up time for the first diving day is 9.30h. Please wait outside your hotel's reception building.)
Name of Hotel are you staying at
(We will pick you up from any Nuweiba hotel, free of charge)
I would like to book a hotel with you
(You will be displayed a link to our hotel booking form later on in the process)
I am not yet certified
I hold a Diving Certification
Please specify which level:
Open Water Level
(PADI Open Water Diver, CMAS *, 'Level One Diver' or equivalent)
Advanced Diver Level
(PADI Advanced Open Water Diver, CMAS**, 'Advanced Diver' or equivalent)
Rescue Diver Level
(or equivalent)
Professional Level
(PADI Divemaster, OWSI, MSDT, IDCS, MI, CD, Diving Instructor, DiveCon, etc.)
Number of logged dives
Date of last dive
(Month/Year)
No, never.
Yes...
Place, Name of dive centre
PADI Discover Scuba Diving (1 day introductory course)
PADI Scuba Diver Course (2 day course)
PADI Open Water Diver Course (4-5 days)
PADI Open Water Diver Course (FAST-TRACK 3 day private course)
PADI Advanced Open Water Diver Course (2 days)
EFR-Emergency First Response Course (1 day)
PADI Rescue Diver Course (3-4 days, needs prior certification in First Aid, EFR)
PADI Divemaster Course (min. 2-3 weeks)
Number of participants for this/these course(s)
Special Requirements / Special Offers
PADI Enriched Air Nitrox Diver Course (1 day, without dive package)
PADI Digital Underwater Photographer Course (1 day)
PADI Deep Diver Course (2 days)
other PADI Specialty Courses
Number of participants for these Specialty Courses
(for certified divers or after a course)
10 day dive package (incl. 20 shore dives, tanks, weights)
I would like to receive 10% discount on my pre-paid 10 day package.
I would like to get a FREE Enriched Air Nitrox Diver Course with my prepaid package.
5 day dive package (incl. 10 shore dives, tanks, weights)
I would like to get a FREE Enriched Air Nitrox Diver Course with my prepaid package.
I would like to receive 10% discount on my pre-paid 5 day package.
1 diving day (incl. 2 shore dives, tanks, weights)
1/2 diving day (1 single shore dive, tank, weights)
Custom dive package with this number of days
Number of certified divers for this dive package
Other Packages / Special Requirements / Special Offers
(please note that there are supplements for special trips)
Checkdive (as single dive or first dive of my dive package)
Refresher Course / PADI Scuba Review (1 single day or the first 2 dives of my dive package)
Ras Mumlah Day Trip (2-3 dives)
(Don't miss this trip, it is a Red Sea Highlight!)
Ras Abu Galum (2-3 dives)
Ras Abu Galum & Ras Mumlah COMBINED (1 day, 3 dives)
Ras Mumlah Camp (2 day overnight safari)
Ras Mumlah & Abu Galum Camp (3 day overnight safari)
(Please note that all courses until Rescue Diver Level include rental equipment.)
I do not require rental equipment
I need rental equipment:
Full Scuba Gear (BCD, Regulator, full Wetsuit or Shorty, Mask/Snorkel, fins, booties)
Regulator only (with SPG, alternate airsource, depth gauge)
I require a small mouthpiece for my own or rental regulator (children's size)
BCD / Jacket only
Full Wetsuit only (5mm Neoprene)
Shorty Wetsuit only (3mm Neoprene)
Scuba Fins only (to be used with dive booties)
Neoprene Dive Booties only
Shoe size(s)
(e.g. US-7, 44, 38, 2x44)
I would like to rent Snorkelling Equipment only (incl. Mask, Snorkel, Fins, Booties)
I would like to rent a Shorty Wetsuit to keep me floaty and warm whilst snorkeling
Number of sets to be rented
Number of days for the rental
Shoe size(s)
(e.g. US-7, 44, 38, 2x44)
I am interested in Guided Snorkeling Trips
I am interested in PADI's Snorkelling Courses (e.g. PADI Skin Diver Course with Certification)
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