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Dive Paradise Diving Form
Paraiso del Buceo, S.A. de C.V.
Your safety is our #1 concern.
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Are You Taking Any Medications?
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If yes, what medication?
Check if you have any health disorders which could present a problem while diving? If so, please give details on next section.
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Health details from previous question (If yes)
Diving Information
Are You A Certified Diver?
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Which agency is your certification with?
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PADI
SDI
NAUI
SSI
YMCA
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Highest Certification Level
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Please upload a photo of your cert card if possible
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Max. file size: 20 MB.
Date of Last Dive
*
MM slash DD slash YYYY
What Was the Depth Of Your Deepest Dive Ever
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Which most closely identifies your level of diving expertise?
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Beginner
Intermediate
Advanced
Expert
Do you feel confident and ready to dive?
*
Yes
No
If not, would you like to speak with one of our instructors?
Yes
No
Would you like to hire a private divemaster to assist you with your first day of boat diving?
Yes
No
Divemaster Preference? If so, with whom?
Buddy Preference?
Is this your first experience with Dive Paradise?
Yes
No
How did you hear about us?
Diving Equipment
(Belts and weights, only, are included on boat trips at no extra cost.)
Please select the equipment you will need.
Belt
Weights
BCD
Regulator
Wet Suit
Mask/Snorkel
Fins
Dive Computer
Dive Light
Harness
Underwater Camera
BCD Size
Approx lbs of weight
Fin Size
Wet Suit Size (Shorty)
Other Needs. Please Specify
Special Interest Diving -
Some extra cost may be involved, and departure from one central location may be required
Please check any special trips in which youd like to participate if theyre offered during this or future visits to Cozumel
Afternoon Trips
Computer Trips
Night Trips
3-Tank Trips
Twilight/Night Combination Trips
Marine Biology
Nitrox Certified Dives
Photography
Videography
Cock-A-Doodle (3 tanks early morning)
Resort Instruction
Open Water Certification
Referral/Open Water
Advanced Instruction
Rescue Training
Divemaster Training
Specialty Course(s)
Experienced Diver Program (EDP) Dives For your protection, evaluation of your skills prior to departure is mandatory.
Punta Sur
Devils Throat
Toms Wall
Shallow Maracaibo
Cedral Wall
Barracuda Reef
Islotes
Statement of Understanding and Waiver
Statement of Understanding and Waiver I understand that I am responsible for loss of and/or damage to any and all equipment loaned or rented to me by Dive Paradise; and that it is my obligation to return this equipment only to the location from which I received it. I am aware of the inherent hazards of scuba diving and agree that I must: • Be in good mental and physical condition for diving and avoid being under the influence of alcohol or drugs when diving. • Engage only in diving activities consistent with my training and experience. • Listen carefully to dive briefings and respect the advice of the Divemasters supervising my diving activities. • Adhere to the buddy system throughout every dive. • Observe local diving laws which state specifically that nothing may be removed from the reefs within park boundaries. • Never exceed depth or time limitations planned by my Divemasters. • Maintain proper buoyancy control when diving and do my best to avoid causing damage to the fragile reef ecology.
I
Name
*
First
Last
have read and do fully understand all of the above stated information. It is my intention to exempt and release Paraiso de Buceo, S.A. de C.V. (Dive Paradise) and its agents from all liability whatsoever for personal injury, property loss or damage, or wrongful death.
Signature
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Home
About
Lessons
SDI Lessons
SDI Forms and Registration
All SDI eLearning Lessons
SDI Scuba Certification Map
SDI Learn To Dive For $99
SDI Computer Nitrox Diver
SDI Discover Scuba
SDI Refresher Course
SDI Advanced Diver
SDI Rescue Diver Certification
Emergency Care, CPR & AED Course
O2 Provider
SDI Divemaster Certification
SDI Assistant Instructor Course
SDI Instructor Certification
SDI Specialties
PADI Lessons
PADI Forms and Registration
All PADI ELearning Certifications
PADI Scuba Certification Map
PADI Learn To Dive For $175
PADI Enriched Air Nitrox
PADI Discover Scuba
PADI ReActivate
PADI Advanced Open Water
PADI Rescue Diver
PADI Emergency First Response
PADI Divemaster Certification
PADI Specialties
Disabled Diving
Disabled Diver Program
Disabled Diving
Disabled Diver Dive Buddy Program
Disabled Diver Instructor Program
Training Calendar
Professional
O2 Provider
Emergency Care, CPR & AED Course
ERDI Public Safety
ERD I
ERD II
SDI Visual Inspection Procedures Certification
Visual Inspection Course
Visual Inspection Instructor Course
Eddy Current and Advanced Thread Inspection
Store
Clearance
Clearance
Saguaro Gift Card
Packages
Rental Sales
Used Gear
Equipment
Masks
Prescription Dive Masks
Snorkels
Fins
Buoyancy Compensators
Regulators
Computers
Gauges
Snorkel Gear
Add On Gear
Cases & Bags
Knives
Photography
Lights
Scooters And ROVs
Tanks & Cylinders
Weights
Accessories
Tools
Hoses
Adapters
Equipment Care
Flags & Floats
Orings & Gaskets
Retractors & Clips
Safety & Signaling Devices
Exposure Gear
Boots
Gloves
Hoods
Wet Suits
Dry Suits
Undergarments
Rash Guards
Apparel
Training
PADI Materials
PADI Courses
SDI Materials
SDI Courses
Spear Fishing
Spearguns
Pole Spears
Spear Heads / Points
Public Safety
Technical Gear
Air Source
High Pressure Air
Visual Inspection Tools
Travel
Group Trips
Divi Bonaire – May 24-31 2025
Roatan August 2025
Cozumel 2025
Philippines Aggressor Liveaboard 2024
Adaptive Diving Trips
Divi Bonaire – May 24-31 2025
Cozumel Adaptive Diving Were Still Planning
Liveaboard Trips
Rentals
Resources
Service
Insurance
Calendar
Blog
Contact Us
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