POS Kids Camp Reservation Form

Please Choose a Kids Scuba Camp Course: *

Kids Scuba Camp - $499 - 8 years and older

Kids Scuba Camp Advanced - $650 - 10 years and older

Basic Kids Scuba Camp: Most classes sell out, so please choose multiple dates. You can let us know your first choice in the other section below.

2023 - June 13 - 16 (Kids Camp) $499

Basic Kids Scuba Camp: Most classes sell out, so please choose multiple dates. You can let us know your first choice in the other section below.

2023 - June 20 - 23 (Kids Camp) $499

Advanced Kids Camp Referral: Most classes sell out, so please choose multiple dates. You can let us know your first choice in the other section below.

2023 - July 11, 12, 13, 14 - $650

Advanced Jr. Open Water Kids Camp: Most classes sell out, so please choose multiple dates. You can let us know your first choice in the other section below.

2023 - July 11, 12, 13, 14 + 4 Open Water Dives in Monterey during pre-scheduled class dates - +$300

PADI Open Water Course (Ocean Dates): Most classes sell out, so please choose multiple dates. You can let us know your first choice in the other section below. *

Student #1 First Name: *

Student #1 Last Name: *

Parents/Guardian First and Last Name (if student is under the age of 18):

Relationship to the Student:

Certification #:

Phone Number: *

Student #1 Email Address: *

Student #1 Birth Date: Month/Day/Year *

Student #1 Age: *

Street Address: *

City: *

Zip Code: *

Student #1 Height: *

Student #1 Weight: *

Student #1 Shoe Size: *

Add additional students? Same household only

1

2

Student #2 First Name: *

Student #2 Last Name: *

Student #2 Email Address: *

Student #2 Certification #:

Student #2 Height: *

Student #2 Weight: *

Student #2 Shoe Size: *

Student #2 Birth Date: Month/Day/Year *

Student #3 First Name: *

Student #3 Last Name: *

Student #3 Email Address: *

Student #3 Certification #:

Student #3 Height: *

Student #3 Weight: *

Student #3 Shoe Size: *

Student #3 Birth Date: Month/Day/Year *

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. *

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

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 to contact us if you do not receive a confirmation letter within 48 hours. Please check your spam folder as well.

Medical Waiver: If a signed physician 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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Any Special Questions or Requests?