Free SCUBA Academics Request

Please provide the information requested below and we will give you a complimentary enrollment into our academic programs in snorkeling, introduction to SCUBA, and the first 2 chapters of our Open Water SCUBA program. (The information you provide us will NOT be used for by anyone else or for any other purpose.) We believe you'll enjoy this on-line foray into our world and we hope it will convince you to come join us as soon as you can.

If you or the person you are enrolling is under 18, please note:
We have to go through a different procedure because we need to make sure we have permission of a parent or guardian. Just give us a quick call at 919-255-1931 (Or enter your phone number below and we'll call you) and we'll get you enrolled in this exciting program immediately.
Full Name:*
Date of Birth:*
Date Format: MM slash DD slash YYYY
Email Address:*
Street Address:*
City*
State:*
ZIP*
Contact phone number:
Name
This field is for validation purposes and should be left unchanged.

Free SCUBA Academics Request

If you or the person you are enrolling is under 18, please note: