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; RM850No Fin Pool Specialty; RM750Training Techniques RM750Pool Training
Date for Pool training/specialty course
Name*

PrefixFirst NameLast Name
Gender*

MaleFemale
E-mail*
Date of Birth

MonthDayYear
Phone Number*

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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: