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Please Choose a Kids Scuba Camp Course:
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Kids Scuba Camp - $499 - 8 years and older - 2025 - June 9th - 12th
Kids Scuba Camp - $499 - 8 years and older - 2025 - June 23rd - 26th
Kids Scuba Camp - $499 - 8 years and older - 2025 - July 14th - 17th
Advanced Kids Scuba Camp - $800 - 10 years and older - 2025 - June 9th - 12th
Advanced Kids Scuba Camp - $800 - 10 years and older - 2025 - June 23rd - 26th
Advanced Kids Scuba Camp - $800 - 10 years and older - 2025 - July 14th - 17th
Jr. Open Water Certification Kids Camp - $899 - 10 years and older - 2025 - June 9th - 12th and 14th & 15th in Lake Tahoe
Jr. Open Water Certification Kids Camp - $899 - 10 years and older - 2025 - July 14th - 17th and 19th & 20th in Lake Tahoe
Student #1 First Name:
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Student #1 Last Name:
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Parents/Guardian First and Last Name
(
if student is under the age of 18):
Relationship to the Student:
Certification #:
Phone Number:
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Student #1 Email Address:
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Student #1 Birth Date:
Month/Day/Year
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Student #1 Age:
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Street Address:
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City:
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Zip Code:
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Student #1 Height:
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Student #1 Weight:
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Student #1 Shoe Size:
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Add additional students?
Same household only
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2
Student #2 First Name:
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Student #2 Last Name:
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Student #2 Email Address:
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Student #2 Certification #:
Student #2 Height:
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Student #2 Weight:
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Student #2 Shoe Size:
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Student #2 Birth Date:
Month/Day/Year
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Student #3 First Name:
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Student #3 Last Name:
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Student #3 Email Address:
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Student #3 Certification #:
Student #3 Height:
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Student #3 Weight:
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Student #3 Shoe Size:
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Student #3 Birth Date:
Month/Day/Year
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You will be receiving a confirmation email within 24 hours.
If you do not receive it, please call 925.687.5354 between the hours of noon and 5pm - Tuesday through Sunday. It is your responsibility to contact us, if you do not receive your confirmation email within 48 hours. Please check your spam folder as well.
***Medical Waiver:
If a signed physician
PADI Medical Waiver
is required for class attendance and the student fails to attain one before the class start date, Pacific Ocean Sports will do their best to help you reschedule attendance for the next available class date; however, rescheduling classes is subject to re-booking fees. If your physician deems you not fit to dive, you must notify Pacific Ocean Sports within 14 days prior to the start of class or you will be subject to the standard course cancellation policy.
Cancellation or Course Change Policy
– Signing below means you have read and understand Pacific Ocean Sports
Cancellation or Course Change Policy.
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I have read the
PADI
Medical Waiver
and can confirm, if needed I will give Pacific Ocean Sports the 3rd page with my Dr. signature before my course start date. If not I will be responsible for my course rescheduling fee ($50 - $300).
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Payment Type:
Credit Card For Secure Online Payment or Payment Over The Phone
Credit card billing address and 3 or 4 digit code on card must match the home address and driverse license of the reservation holder.
No P.O. Boxes accepted. No Discover accepted.
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Visa
MasterCard
American Express
Credit Card Over Phone - Spaces are limited. Spot will not be held until payment has been made
I will come in and pay at Pacific Ocean Sports - Spaces are limited. Spot will not be held until payment has been made
Credit Card Payment:
Your Spot Will Not Be Held Until Your Payment Has Been Made. You must cancel at least 15 days before your first class date in order to receive a full refund. No Discover accepted
Secure Form
Card Holders Name:
Secure Form
Credit Card Number:
Secure Form
Expiration Date (mm/yy):
Secure Form
3 Digit / 4 Digit CVV Code:
Secure Form
Billing Street Address:
Secure Form
Billing City:
Secure Form
Billing State:
Secure Form
Billing Zip Code:
Secure Form
Any Special Questions or Requests?
Pacific Ocean Sports
936 Detroit Avenue #E, Concord 94518
www.pacificoceansports.com 925.687.5354