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    タンク本数本　最終ダイビング

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    「器材レンタルが必要」をチェックされた方は以下をご記入ください。

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左

    どのようなダイビングを楽しみたいですか？（状況で全てにお応えは出来ませんが、複数でもOK）

    同行者のお名前とダイビング経験（器材レンタルが必要な方はサイズもご記入ください。）

    1.お名前　年齢　タンク本数　最終ダイビング

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左 　

    2.お名前　年齢　タンク本数　最終ダイビング

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左 　

    3.お名前　年齢　タンク本数　最終ダイビング

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左 　

    4.お名前　年齢　タンク本数　最終ダイビング

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左 　

    5.お名前　年齢　タンク本数　最終ダイビング

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左 　

    6.お名前　年齢　タンク本数　最終ダイビング

    身長 cm　体重 kg　足のサイズ cm　視力（裸眼）右 　左 　

    リフレッシュダイブ希望や、ナイトやサンセットなどのオプションダイブに参加希望など上記項目で伝えきれなかった事などございましたらこちらへどうぞ


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