Pool Training/specialty course Registration Form

Pool Training/specialty course Registration Form

Pool training organised by Apnea Odyssey
I'm interested in (T&C apply):

Monofin Pool Specialty; RM850 No Fin Pool Specialty; RM750 Training Techniques RM750 Pool Training
Date for Pool training/specialty course
Name *

Prefix First Name Last Name
Gender *

Male Female
E-mail *
Date of Birth

Month Day Year
Phone Number *

Country Code Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
SSI ID (if already registered with SSI)
Freediving certification

Freediving Pool (Aida 2 pool, or SSI freediving pool) Level 1 or equivalent (AIDA 2star, SSI Level 1) Level 2 or equivalnet (AIDA 3start, SSI Level 2) Level 3 or equivalent (AIDA 4 start, SSI Level 3) Freediving Instructor
Your last freediving training?
Your Freediving record / personal best
Static (STA)
Dynamic (DYN)
Dynamic No FIN (DNF)
Constant weight (CWT)
Free Immersion (FIM)
Constant Weight No fin (CNF)
Please pay/transfer RM100 for registration. For your first training session you will need to do refreshment for buddy system and pool rescue.

Maybank Account: 562834643591

Account Name: Odyssey Blue Enterprise
Should be Empty: