SDI Training Log

Student Info
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Gender
Birthdate
MM slash DD slash YYYY
Academic Sections
Instructors Name
- Vince Pastorino
- Ted
Knowledge Review Completed (dd/mm/yy)
Student Initials
Instructor Initials
Chapter One
MM slash DD slash YYYY
Student Initials
Instructor Initials
Chapter Two
MM slash DD slash YYYY
Student Initials
Instructor Initials
Chapter Three
MM slash DD slash YYYY
Student Initials
Instructor Initials
Chapter Four
MM slash DD slash YYYY
Student Initials
Instructor Initials
Chapter Five
MM slash DD slash YYYY
Student Initials
Instructor Initials
Comments
Confined Water Sessions
Date Completed (dd/mm/yy)
Student Initials
Instructor Initials
CW Session 1
MM slash DD slash YYYY
Student Initials
Instructor Initials
CW Session 2
MM slash DD slash YYYY
Student Initials
Instructor Initials
CW Session 3
MM slash DD slash YYYY
Student Initials
Instructor Initials
CW Session 4
MM slash DD slash YYYY
Student Initials
Instructor Initials
CW Session 5 (optional)
MM slash DD slash YYYY
Student Initials
Instructor Initials
Comments
Swim Test 200m or 300m snorkel
MM slash DD slash YYYY
Student Initials
Instructor Initials
Float Test 10 Minute Survival Float
MM slash DD slash YYYY
Student Initials
Instructor Initials

Academic Sections