Camping Valkanela, 52450 Vrsar, Croatia

+48 500 580 132

+385 916 189 622

ranek1

Diver Registration

Please fill out this form carefully before your first dive. All information will be kept confidential.

Street and house number
City
Postal code
Country
(e.g.: Open Water Diver, CMAS**)
Enter number
Total number of dives
Max depth so far (in meters)
First and last name
Phone
Insurance company
Insurance number
If no medical exam, please fill out the medical form
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