Fathom Five/Ocean Quest Book A Dive

About you and your group...

How many divers in your group? *

When do arrive to Kauai?

When do you leave Kauai?

First and Last Name *

Email Address *

Where are you staying on Kauai? *

Street Address *

City, State, ZIP *

Home Telephone *

Mobile Telephone *

Secondary Telephone

Please tell us how many and what type of dives you would like to do.

How many days will you be diving with us?

What type of Dive would you like for Dive number 1?

Dive 1 Date

What type of Dive would you like for Dive Number 2?

Dive 2 Date

What type of Dive would you like for Dive Number 3?

Dive 3 Date

Please fill out the following form on Diver number 1. Please do this for each diver in your party. Mahalo!

How many dives does Diver 1 have total?

When was the last time Diver 1 actually dove?

Please check the boxes for the equipment you will need.

Mask and SCUBA Fins
BCD
Wetsuit (suggested)
Just Tanks and Weights Please

Height *

Weight *

Shoe Size

Would Diver 1 like to use or be introduced to Nitrox (Enirched Air)

Yes
No

If you are booking for only one diver, please click submit, otherwise continue detailing your other diver's information below.

Please fill out the following for Diver number 2.

How many dives does Diver 2 have total?

When was the last time Diver 2 actually dove?

Please check the boxes for the equipment Diver 2 will need.

Mask and SCUBA Fins
BCD
Wetsuit (suggested)
Just Tanks and Weights Please

Height *

Weight *

Shoe Size

Would Dive 2 like to use or be introduced to Nitrox (Enriched Air)

Yes
No

If you are finished booking for two divers please press submit. Otherwise continue detailing your other diver's information below.

How many dives does Diver 3 have total?

When was the last time Diver 3 actually dove?

Please check the boxes for the equipment Diver 3 will need.

Mask and SCUBA Fins
BCD
Wetsuit (suggested)
Tanks and Weights only please

Height *

Weight *

Shoe Size

Would Diver 3 like to use or be introduced to Nitrox (Enriched Air)

Yes
No

If you are finished booking for three divers please press submit. Otherwise conntinue detailing your other diver's information below.

How many dives does Diver 4 have total?

When was the last time Diver 4 actually dove?

Please check the boxes for the equipment Diver 4 will need.

Mask and SCUBA Fins
BCD
Wetsuit (suggested)
Just Tanks and Weights Please

Height *

Weight *

Shoe Size

Would Diver 4 like to use or be introduced to Nitrox (Enriched Air)

Yes
No

Click Submit to book your dive trips! If you have over 4 divers, please gather up their Diver information and give our shop a call!