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Rental Agreement Form

SENSEI SCUBA

Okinawa Scuba Diving School

CORPORALS LOWA

Leadership Open Water Adventure

Complete for your Package

First Name

Email Address

Last Name

Date of Birth

Upload Photo of Graduation Cert.

Upload supported file (Max 15MB)

Graduation Date

Honor Graduate or Gung-Ho Graduate

No

Yes

Request Split Payment

No

Yes

Glove Size

Graduation Code

Gear Color

Boot Size

I declare that the info I’ve provided is accurate & complete

Thank You , expect Invoice from Sensei Scuba in your Email.

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