Profile Picture

Select an image that you want as your profile picture. This image will be shrunk and cropped to 70px X 70px.

First Name (required)

Last Name (required)

Address

Phone

Email

Date of Birth

Emergency Contact

Year First Qualified

Total No. of Dives

Date of Last Dive

Maximum Depth

Type of Dive Experience (please estimate number of dives of each type performed, if you can't remember, just approx):

Boat

Night

Drift/Current

Deep (>30M)

Low Vis

Staged Deco Dives

Cave/Wreck

Technical or EANx

Please upload a photo of the front & back of your most relevant certification card

Front of Card

Back of Card

Please enter the details of your course and agency below. For example: 'Entry Level Qualification' would be 'PADI Open Water' or 'SSI Open Water'.

Entry Level (eg, PADI Open Water)

Advanced (eg, Advanced Open Water)

Master Diver Units (eg, PADI Deep, Rescue)

Divemaster/Assistant Instructor/Instructor

EANx, Technical(eg, PADI Nitrox, Trimix)

Other

Other Boat, Radio and Safety Qualifications

Let us know if you have a favourite site or dive activity, so we can try and get it on the calendar!

Diving Interests:

I have satisfactorily passed a diving medical examination establishing that I am fit to dive and this examination is current in accordance with the time requirements of the training organisation with which I obtained my dive qualification. I acknowledge that it is my responsibility to ensure that my diving medical examination remains current within those requirements while I am participating in dives organised by the club.

I understand that diving is a potentially dangerous activity and I realise that I must act in a responsible manner at all times. I agree to comply with club rules and the instructions of dive coordinators. I understand that this club is an association of amateur divers, and that I am solely responsible for my own equipment and personal safety. I agree that, to the maximum extent permissible by law, I will not hold the club (or any club members) responsible for my death, injury or damage to my property which may occur during or as a result of my participation, viewing or assisting in any competition or event organised or undertaken by the club, whether such death, injury or damage to property be caused by the negligence of any member or agent of the club, or any other cause whatsoever.

I've read, agree and accept the above Tasmania Scuba Diving Club 'Medical Statement' and 'Important Statement of Understandings' as a condition of my membership.