JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
琉潛報名表 Liuqiu Dive Online Application
小編將會聯繫您確認相關細項
Sign in to Google
to save your progress.
Learn more
* Indicates required question
預計參加日期 Date of activity
*
MM
/
DD
/
YYYY
參與活動 Tipe of activity
*
以下價格僅適用至2023/12/31，如報名時間超過請私訊詢問新價格
Open Water 開放水域潛水員 $14000 (3天)
Advanced Open Water 進階開放水域潛水員 $11500 (2天)
Discover Scuba Diving 體驗潛水 $2500 (2.5hr)
Certified Diving 持證潛水 $1800 (2支)
Other:
人數
*
Your answer
中文姓名 First name/middle/Last name(same as passport)
*
Your answer
通信軟體帳號 Social Media Account Name
*
臉書 Facebook Messenger、LINE、微信 WeChat、Whatsapp
Your answer
電話 Contact Number with Country Code
*
Your answer
Email
*
Your answer
Instagram ID (IG)
Your answer
請閱讀以下健康聲明，如有其中一項為「是」，請告知教練或小編。
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
