AES Dives
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Registration for Aquatic Explorers Courses
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Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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How did you hear about us?
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Begin your adventure tell us which SCUBA Course
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DIVER I
DIVER II
DIVER I & II
DIVER III
DIVER IV
Nitrox
SCUBA Communicaiton
Photography
Dive Master
Assistant Instructor
SCUBA Instructor
Lifeguard
Swim & Lifeguard Instructor
DAN Courses
Refresher I-OW
Refresher II-OW w/classroom
Advanced Refresher
Advanced Refresher with Nitrox
Rescue Refresher
Master Diver Refresher
Dive Master Refresher
GROUPON-4hr intro 8-14
Groupon 2- 1P SCUBA cert
Groupon 3 -2p SCUBA cert
Groupon 4-4P SCUBA cert
Groupon 5-1p Adv.SCUBA cert
How many will be participating?
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1
2
3
4
5
6
7
8
9
10
more than 10
List full names, email,phone and birth dates of participants
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Tell us what Month you would like to take the course?
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Private Group
December
January
February
March
April
May
June
July
August
September
October
November
Select your preferred pool location?
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Collins Hill Aquatic Center
Cobb County
Agnes Scott
Please Select SCUBA items you own.
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I need more information
Mask & snorkel
Fins & Booties
BC & Regulator w/gauges
Computer
3mm wetsuit
5 or 7 mm wetsuit
Drysuit
Flashlight
Surface Signaling Device
Coupon Code
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Comment
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Register for Course
Welcome
AES
>
Founders
What we do & Why