Booking Request: Cozumel Dive Trip, October 8-12, 2025

We will email you an invoice for a nonrefundable $500 per room deposit to hold your space. The balance is due by August 1, 2025. Contact us with any questions!

Full legal name of Guest #1 as written on passport*

Full legal name of Guest #2 as written on passport

Email address *

Primary Guest's Cell Phone*

Primary Guest's Date of Birth*

Month

Day

Year

Guest #1 SCUBA Certification Level*

Guest #1 - Month/Year of Last Dive

Is Guest #1 certified to use Nitrox? Nitrox is provided free of charge if you're certified!

Yes (bring your certification card on the trip!)

No, but I want to get certified through SELA SCUBA

No, I plan to use air

Guest #2 SCUBA Certification Level

Guest #2 - Month/Year of Last Dive

Is Guest #2 certified to use Nitrox? Nitrox is provided free of charge if you're certified!

Yes (bring your certification card on the trip!)

No, but I want to get certified through SELA SCUBA

No, I plan to use air

Will any divers on your reservation need to rent dive gear? (extra charge)

Do all divers on the reservation have Dive Accident insurance, such as DAN? (Note: Students have student DAN coverage under the instructor's policy.)*

If you are a certified diver and do not currently have DAN insurance, would you like us to assist you in obtaining coverage?*

Yes

N/A - Already have coverage

We highly recommend travel insurance to protect your trip. We can assist you with obtaining travel insurance if you need it. Please indicate your travel insurance status:*

Hotel bed options*

One King Bed

Two Double Beds

No Preference

Are there any requests or special needs we should be aware of?

Are you interested in adding 1-2 days of diving CENOTES in the Playa del Carmen, MX area?*

Yes

Possibly, send more info!

Not interested

By checking this box, you confirm that you have read and agree to the booking Terms & Conditions, located at this link.

Questions? Click here to email us!

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