Training Registration Form

*Notice: By submitting this form you accept the cancellation policy as follows:
Cancellations received prior to 3 weeks before the start date of class will receive a full refund. Cancellations received 8-21 days prior to the start date of class will receive a 50% refund. Cancellations received 0-7 days prior to the start date of class will not receive a refund.

[[[["field7","contains","Order"]],[["show_fields","field13"]],"and"]]
1
Select Your Course
Student Info
Nameyour full name
DepartmentOrganization Name
Phoneyour phone number
RSTC Medical Statement RequirementI understand my truthfully completed RSTC Medical Statement is a prerequisite for participation in any Dive Rescue International program involving in-water activity and that any affirmative answer in the Medical Questionnaire section of that form requires physician signature and clearance in order to participate. I understand failure to provide this document on or before the first day of class disqualifies me from participating in-water and that no refunds will be offered to me or my department should I fail to provide it and that his form is available at www.diverescueintl.com/wp-content/uploads/2013/06/RSTC.pdf
Payment
Billing Addressyour full billing address
Choose Billing Optionpick one!
Purchase Order Number
Previous
Next
FormCraft - WordPress form builder

Contact Information


Address: 201 North Link Lane Fort Collins, CO 80524-2712
Phone: (800) 248-3483
Email: training@diverescueintl.com