Dewi Nusantara Nov 8-19 2022
Dewi Nusantara Know Before You Go
Please complete these documents and return to me at dive@divingdivas.com
If you answered YES to questions 3, 5 or 10 above OR to any of the questions on page 2, please read and agree to the statement above by signing and dating it AND take all three pages of this form (Participant Questionnaire and the Physician’s Evaluation Form) to your physician for a medical evaluation. Participation in a diving course requires your physician’s approval
To print this page. Use Ctrl+P