Guest Registration Form

About You

Name

First

Last

Contact Information

Phone

Email

Nationality

Date of Birth

Do you have any food allergies:

Yes
No

Please provide more information:

Medical history

I have no relevant medical issues
I think I need to sign a Medical Release Form

About Your Time in North West Bali

Name of your accommodation

Type "Need help" if you would like us to assist you in making a reservation

How did you hear about our dive center?

Scuba Diving & Snorkel Activities

Start date of planned activity

Will you be:

Diving
Snorkeling

Certifying agency

Level of certification

Diving experience level

Date of last dive

Location of last dive

Do you have a Nitrox (EANx) certification?

Yes
No

Would you like to use Nitrox (EANx) tanks (85,000 IDR per tank) on your dives?

Yes
No

Are you comfortable and at ease while on boats and while swimming in the ocean?

Yes
No

Please indicate if you have your own rental equipment

I have ALL of my own equipment
I have some of my own equipment
I need to use the Abyss equipment

<>If you plan to rent fins and wetsuits from us, please indicate your t-shirt and shoe sizes:

T-shirt size:

Shoe size:

Safe & Responsible Diver Statement

1) Guests acknowledge that they are certified divers and are responsible to maintain their own depth and decompression limits.
2) Abyss Ocean World does not allow guests to conduct decompression dives. If a guest reaches their No Decompression Limit they will be asked to wait the recommended surface interval before reentering the water.
3) Guests must follow the directions of the Divemaster during the length of the activity for their own safety and the safety of others.

I agree to the above statements about being a Responsible Diver

Environmentally Friendly Guest Statement

I understand that Abyss Ocean World is a Green Fins member and operates in compliance with the Green Fins Code of Conduct to protect the reefs and marine environment. I agree to follow the guidelines and Code of Conduct laid out by Abyss Ocean World staff.
I understand that if I do not follow these guidelines I may cause damage to the marine environment and may face termination of activities without the possibility of a refund.
1) I will not touch anything underwater & will not wear gloves
2) I will not chase, harass or excessively use strobes / flash on any marine life
3) I will only use a muck stick responsibly – not to poke, prod or manipulate marine life
4) I will maintain good buoyancy and stay clear of the reef at all times to prevent damage
5) I will allow my dive / snorkel guide to correct any damaging behavior I exhibit towards marine life.

I agree to the above statements about being an Environmentally Friendly Diver

Special notes or instructions

Data Management Consent

I give consent for Abyss Ocean World to collect and use the above information for reasons directly linked to my activities with Abyss Ocean World. The company will do all practical measures to ensure this data is kept secure until deletion after the activity is completed.

I agree to the above statement about the collection of the above data

Please Complete The Below Guest Registration Form

The information is used to prepare for all water activities such as; snorkeling, PADI courses and fun diving for certified divers

Guest Registration Form