Course Application Form

PADI Course Application Form

Please fill out this form to book your next PADI Course.
  • Date Format: MM slash DD slash YYYY
  • Don’t forget to get your medical (not more than 12 months old)
  • Please attach 2 passport size photos with your name on the back
  • Please arrange to pick up your dive manual before the course starts.

Payment Details:

  • Please submit your booking form with a contact number so that we can call you back and take a $50.00 deposit per diver.
  • This will confirm we have received your booking form via email and also allow us to answer any further questions you may have. If you have not heard from us within 24 hrs please call Frog Dive Willoughby 9958 5699, between 10am and 7pm so we can book you in.Thank you.NOTE:
    1. A medical check-up is required. The form for completion by a doctor can be printed out by clicking here
    2. 2 passport size photographs are also required on the first night for your certification