Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.SnorkelPersonal informationName *Surname *Passport number *Birthdate *Gender *MaleFemaleI don't want to sayCountry *AfghanistanAlbaniaGermanyAndorraAngolaAnguillaAntigua and BarbudaAntarcticaAlgeriaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBangladeshBarbadosBahrainBelizeBeninBermudaBelarusBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiBhutanBelgiumCabo VerdeCambodiaCameroonCanadaChadXileChinaCyprusColombiaComorosCongoCongo (Democratic Republic of)Korea (Republic of)North KoreaCosta RicaIvory CoastCroatiaCubaCuraçaoDenmarkDominicaEcuadorEgyptEl SalvadorUnited Arab EmiratesEritreaSlovakiaSloveniaSpainHoly See (Vatican City State)United States of AmericaEstoniaEthiopiaRussian FederationFijiPhilippinesFinlandFranceGabonGambiaGeorgiaGhanaGibraltarGrenadaGreeceGreenlandGuadeloupeGuamGuatemalaFrench GuianaGuernseyGuineaGuinea EquatorialGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIndiaIndonesiaIraqIreland (Republic of)Islamic Republic of IranBouvet IslandIsle of ManIsle of ManChristmas IslandIcelandCocos IslandsCocos IslandsCook IslandsFaroe IslandsHeard and McDonald IslandsFalkland Islands (Malvinas)Northern Mariana IslandsMarshall IslandsSolomon IslandsTurks and Caicos IslandsUnited States Minor Outlying IslandsUS Virgin IslandsBritish Virgin IslandsSouth Georgia and South Sandwich IslandsÅland IslandsIsraelItalyJamaicaJapanJerseyJordanQatarKazakhstanKenyaKyrgyzstanKiribatiKosovoKuwaitLesothoLatviaLiberiaLibyaLiechtensteinLithuaniaLuxembourgLebanonMacauNorth Macedonia (Republic of)MadagascarMalaysiaMalawiMaldivesMaliMaltaMoroccoMartiniqueMauritiusMauritaniaMayotteMicronesia, Federated States ofMoldovaMongoliaMontenegroMontserratMozambiqueMyanmarMexicoMonacoNamibiaNauruNepalNicaraguaNigeriaNiueNorwayNew CaledoniaNew ZealandNigerOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayNetherlandsPeruPitcairnFrench PolynesiaPolandPortugalPuerto RicoUnited Kingdom of Great Britain and Northern IrelandCentral African RepublicChech RepublicDominican RepublicLao People's Democratic RepublicSyrian Arab RepublicRéunionRwandaRomaniaSaint Kitts and NevisSamoaAmerican SamoaSaint BarthélemySan MarinoSaint Martin (French part)Sint Maarten (Dutch part)Saint Pierre and MiquelonSt. Vincent and the GrenadinesSaint Helena, Ascension and Tristan da CunhaSt. LuciaSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSomaliaSri LankaSwaziland (Kingdom of)South AfricaSudanSouth SudanSwedenSwitzerlandSurinamSvalbard and Jan MayenOccidental SaharaThailandTaiwan, Republic of ChinaTanzania (United Republic of)TajikistanBritish Indian Ocean TerritoryFrench Southern and Antarctic LandsTimor-LesteTogoTokelauTongaTrinidad and TobagoTurkmenistanTuvaluTunisiaTürkiyeUkraineUgandaUruguayUzbekistanVanuatuVenezuela (Bolivarian Republic of)VietnamWallis and FutunaYemenDjiboutiZambiaZimbabwePostcode *Phone *Email *Do you want us to tag you in your photos/videos on social media?InstagramTikTokIn case of under 18 years old, father/mother/legal guardian must fill in:NameSurnamePassport numberPhoneInformation for the activity Entry date *Departure date *Accommodation *In case of emergency:Name *Surname *Phone *Information required to prepare your scuba diving equipmentHeight (cm) *Weight (kg) *Shoe size (EU) *Signature * Clear Signature Date *Authorized signature (in case of under 18 years old) * Clear Signature NextI declare that: I am fully responsible for the custody of the rental material owned by the school and must return it in case of loss or theft during the contracted activity. I undertake to follow the instructions given to me by the instructor in the briefing prior to the dive. Scuba School Lanzarote, legally represented by Luis Duque Garcia with DNI 40.981.368Z, processes the information provided to us in order to provide you with the services requested and to invoice you for them. The data provided will be kept for as long as the commercial relationship is maintained or for the years necessary to comply with legal obligations. The data will not be passed on to third parties except in cases where there is a legal obligation. By signing this document, you authorize Scuba School Lanzarote to use your data for the purpose of offering you services, promotions and communications related to diving. You have the right to obtain confirmation as to whether Scuba School Lanzarote is treating your personal data correctly, therefore, you have the right to access your personal data, rectify inaccurate data or request its deletion when the data is no longer necessary. During the activities we may take photographs or record images, which will be used later for promotional, informative, or educational activities of scuba diving and the school. Signature * Clear Signature Date *Authorized signature (in case of under 18 years old) * Clear Signature Send