Fathom Five Scuba & Tag Registration For Certification Trainees Please submit your information by April 10, 2025 so that we can process your scuba registration for you at the Fathom Five National Marine Park of Canada in Tobermory, and obtain your Park Tag prior to your arrival. ← BackThank you for your response. ✨ Last Name (required) First Name (required) Gender Street Address (required) City (required) Province(required) Postal Code (required) Emergency Contact’s Name (required) Emergency Contact’s Relationship to you (required) Emergency Contact’s Phone (required) Your Email Address (required) Is this your first visit here?(required) Yes No Your certifying agency(required) NAUI Your certification level (required) Not applicable – I am taking my Certification Training Dives June 14-15, 2025 Number of dives … (Already certified? Use the other form for divers: https://bluenorthscuba.ca/fftag-divers/ (required) None – I am taking my Certification Training Dives June 14-15, 2025 Boat permit(required) Not applicable Age Category (required) 8-15 16-20 21-30 31-40 41-50 51-60 61+ Fathom Five Dive Tag for two days (required) Yes, two days I acknowledge that clicking “Send” on this form represents my electronic signature (required) Yes SendSubmitting form Warning: After clicking “Send”, make sure you see a screen that displays your input. Otherwise your application has not been sent. If that is the case, check for errors or omissions on the application form. Correct each error or omission. Then click “Send” again. Δ .