Register for the Scuba Rangers

Fill out the form below to sign up for the Scuba Rangers classes and meetings. Please submit one completed form per child.


	Which class schedule is of most interest to your child?
	When will you and your child attend an hour-long orientation to pick-up your Ranger student kit, complete required paperwork, watch a short video and tour the facility?
	Information about your child
	First Name
	Last Name
	Date of Birth
	Child's Address
	Child's Phone
	Child's Email

	Information about the Primary Parent Contact
	First Name
	Last Name
	Address
	Phone
	Email

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