Coral Rehabilitation Trainer Course Sign in

Trainer Course Sign Up Form

5-Day SSD Trainer Course Sign Up Form. *You must pay the 30% deposit for the course via PayPal Button under the form in order to secure your spot after filling out the form. We will receive a notification once the payment is received and add you to the official course list. *Full course cost: $500 usd; course deposit: $150 usd *You must be at least divemaster status to sign up for this course

Name *

First

Last

Email *

Occupation / Company *

Reason For Joining the Course *

Dive Certification *

Divemaster
Instructor

Course Location & Date *

Panglao (Bohol), Philippines—Sierra Madre Divers
Koh Phi Phi, Thailand—Princess Divers
Koh Tao, Thailand—Ocean Republic
Koh Lanta, Thailand—Scubafish
Pulau Kapas, Malaysia—Aqua Sports Divers

Date: (Month, Day, Year) *

Please specify the course date of your location choice, as there are a few courses scheduled for 2017 at each location. If unsure, please refer to the Trainer Course Schedule at the bottom of the website.

Please Choose Your Interest *

Interested
For Sure Going

Note: If you would like to sign up and guarantee your spot, please choose the second option, but if only wanting to hear more, choose the first option. We need this information to do a head count as the minimum required # of persons is 4.