Trainee Profile Form

Name(required)

Email – Please use only one email address (required)

Street Address(required)

City(required)

Postal Code(required)

Phone Number – Please use hyphens as in 416-123-4567(required)

Age Category(required)

Age under 18 Age 18-64 Age 65+

Dietary Restrictions: We are organizing a lunch of bagels, cream cheese, cold cuts, salad/veggies, fruit, water. Please let us know if you can find something suitable to eat in this list. Or, if you have dietary restrictions, please let us know in the Comments field below, and we'll get back to you.(required)

No, I don't have dietary restrictions – This lunch is fine Yes, I have dietary restrictions, explained in the Comments field

Are you able to give 1 or more fellow divers a ride to Tobermory?(required)

Yes No

Emergency Contact's Name(required)

Emergency Contact's Email – Please use only one email address(required)

Emergency Contact's Phone Number(s) – Please use hyphens as in 416-123-4567(required)

If you know your OUC number for the current calendar year, please provide it here.

I have read and agree to the Blue North Informed Consent Liability Release Assumption of Risk Agreement as stated in the Policy section of the Blue North Scuba Club website https://bluenorthscuba.ca/policies/(required)

Yes No

I have read and agree to the Blue North policies as stated in the Policy section of the Blue North Scuba Club website including Dive Policy, Guest Diver Policy, Photography Policy, etc. https://bluenorthscuba.ca/policies/(required)

Yes No

Comments or Questions

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. (You will see a small pop-up Error Box beside each error.) Correct each error or omission. Then click “Send” again.

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