Registration Form
Please fill in the form below. This is for Open water / island trip
Full Name
*
Prefix
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Gender
Male
Female
Have you completed SSI Freediving pool course and certified or own pool certification equivalent to SSI Freediving pool
Yes
No
if Yes, when is your last freedive session?
Open water /island trip you want to join
31 March 2019 (Payar)
6-7 April (Tenggol)
13-14 April (Tenggol, Ladies)
20-21 April (Tioman)
26-29 April (Dayang Island)
Submit Form
Should be Empty: