DIVE SHOP WORKING HOURSMonday9:00-21:00Tuesday9:00-21:00Wednesday9:00-21:00Thursday9:00-21:00Friday9:00-21:00Saturday9:00-21:00Sunday9:00-21:00 READ DIVE MEDICAL STATEMENT Find Us DIVING SCHOOL DIVING SCHOOLBLUE PLANET DIVERS 150/1 Moo 1 Baan saladan, Koh Lanta, Krabi 81150, Thailand +66 857 23450 blueplanetdivers@gmail.com A STEP AWAY FROM YOUR BOAT A STEP AWAY FROM YOUR BOATThe Dive House 150/1 Moo 3 Baan saladan, Koh Lanta, Krabi 81150, Thailand +66 881 793419 lantaharmonyhouse@gmail.com REGISTRATION FORM HERE Fields marked with an * are required Main Contact Main Contact First Name * Last Name * Email * Language(s) Spoken * Age * Your Activities with Blue Planet YOUR ACTIVITIES WITH BLUE PLANET Number of Participants * One Two Three Four Five Starting optional Date * Departure Date * Main Participant Details MAIN PARTICIPANT DETAIL Activity * Courses Trips (certified diver) Apnea / Freediving Snorkelling PADI Scuba Course * Bubblemaker (8 & 9y) / 1 day Discover One day (from 10y) / 1 day Junior OW Course / 3 days (10 to 14y) OW Course / 3 days (from 15y) Advance OW course / 2 days Nitrox Course Deep Dive Specialty Rescue Rescue & EFR Dive Trips (certified divers only) * Local 1 day PhiPhi (Bida, Kled Keaw wreck,..) area / 2 or 3 dives Local 1 day Koh Haa area / 2 or 3 dives Further Hin Deang / Hin Muang / Haa / 3 dives Package 2 days local / 4 to 6 dives Package 2 days (local & further hin deang) / 5 to 6 dives Package 3 days (2 local & further hin deang) / 7 to 9 dives Apnea / Freediving * Training Day (certified only) Discover Apnea / one day AIDA* course - 2 days AIDA** course - 3 days AIDA*** course - 3 days Snorkeling one day Snorkelling one day local (from 10y) Kid - Snorkelling one day local (from 6y) Under 5 years Old - Free of Charge Scuba Certification * None Scuba diver Junior Open Water Open Water Deep Adventure Adventure Diver Advance Open Water Rescue Divermaster Instructor or higher CMAS* CMAS* & PE40 CMAS** CMAS*** MF1 or higher Date of last dive * Number of Dives * Apnea certification None AIDA1* AIDA2* AIDA3* AIDA4* Level 1 (other agency) Level 2 (other agency) Level 3 (other agency) Level 4 (other agency) Instructor or higher Mask & Snorkel Own Set Need one set Wetsuit size (Same as T-shirt) * Own Wetsuit Junior Extra Small Small Medium Large Extra Large XX Large XXX Large Fins size (same as shoes) Own Fins 31-33 34-35 36-37 (3.5-4.5) 38-39 (5-6) 40-41 (6.5-7.5) 42-43 (8-9) 44-45 (10-11) 46-47 (12-13) Regulator Set Own Set Need One Set BCD (Dive Jacket) Own Set Need One Set Participant 2 Details PARTICIPANT 2 DETAILS First Name Last Name Email Age * Activity * Courses Trips (certified diver) Apnea / Freediving Snorkelling PADI Scuba Course * Bubblemaker (8 & 9y) / 1 day Discover One day (from 10y) / 1 day Junior OW Course / 3 days (10 to 14y) OW Course / 3 days (from 15y) Advance OW course / 2 days Nitrox Course Deep Dive Specialty Rescue Rescue & EFR Dive Trips (certified divers only) * Local 1 day PhiPhi (Bida, Kled Keaw wreck,..) area / 2 or 3 dives Local 1 day Koh Haa area / 2 or 3 dives Further Hin Deang / Hin Muang / Haa / 3 dives Package 2 days local / 4 to 6 dives Package 2 days (local & further hin deang) / 5 to 6 dives Package 3 days (2 local & further hin deang) / 7 to 9 dives Apnea / Freediving * Training Day (certified only) Discover Apnea / one day AIDA* course - 2 days AIDA** course - 3 days AIDA*** course - 3 days Snorkeling one day Snorkelling one day local (from 10y) Kid - Snorkelling one day local (from 6y) Under 5 years Old - Free of Charge Scuba Certification * None Scuba diver Junior Open Water Open Water Deep Adventure Adventure Diver Advance Open Water Rescue Divermaster Instructor or higher CMAS* CMAS* & PE40 CMAS** CMAS*** MF1 or higher Date of last dive * Number of Dives Apnea certification None AIDA1* AIDA2* AIDA3* AIDA4* Level 1 (other agency) Level 2 (other agency) Level 3 (other agency) Level 4 (other agency) Instructor or higher Mask & Snorkel Own Set Need one set Wetsuit size (Same as T-shirt) * Own Wetsuit Junior Extra Small Small Medium Large Extra Large XX Large XXX Large Fins size (same as shoes) Own Fins 31-33 34-35 36-37 (3.5-4.5) 38-39 (5-6) 40-41 (6.5-7.5) 42-43 (8-9) 44-45 (10-11) 46-47 (12-13) Regulator Own Set Need One Set BCD (Dive Jacket) Own Set Need One Set Participant 3 Details PARTICIPANT 3 DETAILS First Name Last Name Email Age * Activity * Courses Trips (certified diver) Apnea / Freediving Snorkelling Dive Trips (certified divers only) * Local 1 day PhiPhi (Bida, Kled Keaw wreck,..) area / 2 or 3 dives Local 1 day Koh Haa area / 2 or 3 dives Further Hin Deang / Hin Muang / Haa / 3 dives Package 2 days local / 4 to 6 dives Package 2 days (local & further hin deang) / 5 to 6 dives Package 3 days (2 local & further hin deang) / 7 to 9 dives Apnea / Freediving * Training Day (certified only) Discover Apnea / one day AIDA* course - 2 days AIDA** course - 3 days AIDA*** course - 3 days PADI Scuba Course * Bubblemaker (8 & 9y) / 1 day Discover One day (from 10y) / 1 day Junior OW Course / 3 days (10 to 14y) OW Course / 3 days (from 15y) Advance OW course / 2 days Nitrox Course Deep Dive Specialty Rescue Rescue & EFR Snorkeling one day Snorkelling one day local (from 10y) Kid - Snorkelling one day local (from 6y) Under 5 years Old - Free of Charge Scuba Certification * None Scuba diver Junior Open Water Open Water Deep Adventure Adventure Diver Advance Open Water Rescue Divermaster Instructor or higher CMAS* CMAS* & PE40 CMAS** CMAS*** MF1 or higher Date of last dive * Number of Dives * Apnea certification None AIDA1* AIDA2* AIDA3* AIDA4* Level 1 (other agency) Level 2 (other agency) Level 3 (other agency) Level 4 (other agency) Instructor or higher Mask & Snorkel Own Set Need one set Wetsuit size (Same as T-shirt) * Own Wetsuit Junior Extra Small Small Medium Large Extra Large XX Large XXX Large Fins size (same as shoes) Own Fins 31-33 34-35 36-37 (3.5-4.5) 38-39 (5-6) 40-41 (6.5-7.5) 42-43 (8-9) 44-45 (10-11) 46-47 (12-13) Regulator Own Set Need One Set BCD (Dive Jacket) Own Set Need One Set Participant 4 Details PARTICIPANT 4 DETAILS First Name Last Name Email Age * Activity * Courses Trips (certified diver) Apnea / Freediving Snorkelling Dive Trips (certified divers only) * Local 1 day PhiPhi (Bida, Kled Keaw wreck,..) area / 2 or 3 dives Local 1 day Koh Haa area / 2 or 3 dives Further Hin Deang / Hin Muang / Haa / 3 dives Package 2 days local / 4 to 6 dives Package 2 days (local & further hin deang) / 5 to 6 dives Package 3 days (2 local & further hin deang) / 7 to 9 dives Apnea / Freediving * Training Day (certified only) Discover Apnea / one day AIDA* course - 2 days AIDA** course - 3 days AIDA*** course - 3 days PADI Scuba Course * Bubblemaker (8 & 9y) / 1 day Discover One day (from 10y) / 1 day Junior OW Course / 3 days (10 to 14y) OW Course / 3 days (from 15y) Advance OW course / 2 days Nitrox Course Deep Dive Specialty Rescue Rescue & EFR Snorkeling one day Snorkelling one day local (from 10y) Kid - Snorkelling one day local (from 6y) Under 5 years Old - Free of Charge Scuba Certification * None Scuba diver Junior Open Water Open Water Deep Adventure Adventure Diver Advance Open Water Rescue Divermaster Instructor or higher CMAS* CMAS* & PE40 CMAS** CMAS*** MF1 or higher Date of last dive * Number of Dives * Apnea certification None AIDA1* AIDA2* AIDA3* AIDA4* Level 1 (other agency) Level 2 (other agency) Level 3 (other agency) Level 4 (other agency) Instructor or higher Mask & Snorkel Own Set Need one set Wetsuit size (Same as T-shirt) * Own Wetsuit Junior Extra Small Small Medium Large Extra Large XX Large XXX Large Fins size (same as shoes) Own Fins 31-33 34-35 36-37 (3.5-4.5) 38-39 (5-6) 40-41 (6.5-7.5) 42-43 (8-9) 44-45 (10-11) 46-47 (12-13) Regulator Own Set Need One Set BCD (Dive Jacket) Own Set Need One Set Participant 5 Details PARTICIPANT 5 DETAILS First Name Last Name Email Age * Activity * Courses Trips (certified diver) Apnea / Freediving Snorkelling Dive Trips (certified divers only) * Local 1 day PhiPhi (Bida, Kled Keaw wreck,..) area / 2 or 3 dives Local 1 day Koh Haa area / 2 or 3 dives Further Hin Deang / Hin Muang / Haa / 3 dives Package 2 days local / 4 to 6 dives Package 2 days (local & further hin deang) / 5 to 6 dives Package 3 days (2 local & further hin deang) / 7 to 9 dives Apnea / Freediving * Training Day (certified only) Discover Apnea / one day AIDA* course - 2 days AIDA** course - 3 days AIDA*** course - 3 days PADI Scuba Course * Bubblemaker (8 & 9y) / 1 day Discover One day (from 10y) / 1 day Junior OW Course / 3 days (10 to 14y) OW Course / 3 days (from 15y) Advance OW course / 2 days Nitrox Course Deep Dive Specialty Rescue Rescue & EFR Snorkeling one day Snorkelling one day local (from 10y) Kid - Snorkelling one day local (from 6y) Under 5 years Old - Free of Charge Scuba Certification * None Scuba diver Junior Open Water Open Water Deep Adventure Adventure Diver Advance Open Water Rescue Divermaster Instructor or higher CMAS* CMAS* & PE40 CMAS** CMAS*** MF1 or higher Date of last dive * Number of Dives * Apnea certification None AIDA1* AIDA2* AIDA3* AIDA4* Level 1 (other agency) Level 2 (other agency) Level 3 (other agency) Level 4 (other agency) Instructor or higher Mask & Snorkel Own Set Need one set Wetsuit size (Same as T-shirt) * Own Wetsuit Junior Extra Small Small Medium Large Extra Large XX Large XXX Large Fins size (same as shoes) Own Fins 31-33 34-35 36-37 (3.5-4.5) 38-39 (5-6) 40-41 (6.5-7.5) 42-43 (8-9) 44-45 (10-11) 46-47 (12-13) Regulator Own Set Need One Set BCD (Dive Jacket) Own Set Need One Set Accommodation ACCOMMODATION Have you got one? Looking for one? Already booked Which Hotel in Lanta? Room Number Notre Dive House Dive House - Double bed room Dive House - Twin bed room How many nights? Where did you hear about us? Any comments: If you are a human seeing this field, please leave it empty.