Eagle Ray Divers Cozumel, Mexico

Thank you for choosing Eagle Ray Divers as your diving host while on Cozumel Island!

Below is a "pre-registration" form that should be filled out prior to your arrival. Please complete it and send it in. This officially lets us know that you are on your way, so we can reserve your special spot with us.

Thanks again and have fun packing!

Tell us how we can reach you

*First Name:

*Last Name:

*Phone Number:

* E-mail Address:

*Hotel/Ship Name

*Arrival Date/Time:

*Depart Date/Time:

Dive Trip Type (Please check one)

2-tank certified diver		3-tank certified diver
Discover Scuba 1-tank		Discover Scuba 2-tanks

Diving Experience
certified by:
certification#	level
logged dives	last dive

Please note: If it has been more than 6 months since your last dive, we recommend a refresher course at your local dive shop or here in Cozumel before diving.

Planning your dive
date(s) requested:
number of persons:
names/ages:
need rental equipment?	yes no

shoe size(s)
BCD (Jacket Size) XS - XL

How did you hear about us?

ERD website		Search engine
Personal referral		Local Dive Shop
Another website

Comments/Special Requests?
Comments/Special Requests:
Yes, I have read the reservation and cancellation policy and understand each item therein or have asked and been given an explanation. Yes, I accept the terms.

press "submit" to send us your reservation form

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