Registration

Please complete the registration form below. Please note that all uploads must be a max 5mb in size and in one of the following formats (pdf, jpg, jpeg, png).

Where a signature is required, you can usually do this with your mouse or track-pad or by signing on your smart device’s screen. Thank you!

New regulations require us to send a picture of your passport or National ID card with our diving permission for certain sites. (max. 5mb file size).

Emergency Contact (this should be someone who is NOT diving with you)



If you have dive insurance please tell us with whom and give the policy number below.


Kindly let us know your dietary and food allergy restrictions below.


To help us set up as much of your equipment as possible before you arrive, please let us know if you’re bringing anything with you, and if you’re not, we might need the size of rental equipment.

We always assume that we will supply tank and weights and weight belt if required.

Mask

Dive Computer

Fins

BCD

Regulator

Are you an EANx (Nitrox) diver?

Wetsuit

Boots


By signing this document, I understand and agree to the terms and conditions and that I am responsible for the equipment I use from the time I receive them until I check them back in. I agree that I will be fully charged if I damage or lose the equipment. I agree that Dive Tribe Komodo, and/or its employees are not responsible for my personally owned equipment or personal belongings.


Please draw your signature below