Your First Name
Your Middle Initial
Your Last Name
Your eMail Address
Home Address
ZIP / Post Code
City
Country
Date of First Diving Day / Course start
(DD/MM/YYYY)
I would like to be picked up from my hotel
(The regular pick up time for the first diving day is 9.30h. Please wait outside your hotel's main entrance gate.)
Name of Hotel are you staying at
(We will pick you up from any Nuweiba hotel, free of charge)
I would like to book a hotel with you
(You will be displayed a link to our hotel booking form later on in the process)
Open Water Level
(PADI Open Water Diver, CMAS *, 'Level One Diver' or equivalent)
Advanced Diver Level
(PADI Advanced Open Water Diver, CMAS**, 'Advanced Diver' or equivalent)
Rescue Diver Level
(or equivalent)
Professional Level
(PADI Divemaster, OWSI, MSDT, IDCS, MI, CD, Diving Instructor, DiveCon, etc.)
I am not certified yet.
Number of logged dives
Date of last dive
(Month/Year)
PADI Discover Scuba Diving (1 day introductory course)
PADI Scuba Diver Course (2 days)
PADI Open Water Diver Course (3-4 days)
PADI Open Water Diver Course (FAST-TRACK 3 day private course)
PADI Advanced Open Water Diver Course (2 days)
EFR-Emergency First Response Course (1 day)
PADI Rescue Diver Course (3-4 days, needs prior certification in First Aid, EFR)
PADI Divemaster Course (min. 2-3 weeks)
Number of participants for this/these course(s)
Special Requirements / Special Offers
PADI Enriched Air Nitrox Diver Course (1 day, without dive package)
PADI Digital Underwater Photographer Course (1 day)
PADI Deep Diver Course (2 days)
other PADI Specialty Courses
we offer all PADI Specialty Courses except Ice Diving and Altitude Diving!
Number of participants for these Specialty Courses
(for certified divers or after a course)
5 day dive package (incl. 10 shore dives, tanks, weights)
10 day dive package (incl. 20 shore dives, tanks, weights)
1 diving day (incl. 2 shore dives, tanks, weights)
1/2 diving day (1 single shore dive, tank, weights)
Checkdive (as single dive or first dive of my dive package)
Refresher Course / PADI Scuba Review (1 single day or the first 2 dives of my dive package)
(Please note that all courses until Rescue Diver Level include rental equipment.)
I do not require rental equipment
I need rental equipment.
Additional Messages to us:
