TORONTO SUPER TURTLES DIVE CLUB

MEMBERSHIP APPLICATION FORM


  Name
  Street
  City
  Postal code
E-Mail 
Business Phone   Residence Phone 
Date of birth: (mm/dd/yy) 

Medical Problems

Emergency contacts

Name Phone Relationship 
Name Phone Relationship 

Diver Information

Check highest level certified:
StudentOpen WaterAdvancedDivemasterAssistant InstructorInstructor
C-Card # for above Agency Year Certified 

First Aid Year 
CPR Year 

List specialty courses:

How many dives did you do last year? 
If you are a certified Divemaster, would you lifeguard the pool? 
If you are an Instructor, would you teach a club course?

Interests

Courses

Basic Course
Advanced Course
Divemaster
Rescue
First Aid/CPR
Assistant Instructor

Club Dives

Roatan
Fenlon
Lake Erie
Tobermory
Penetang
Brockville
Niagara River
Kingston
Rockport
Segwun Dinner Cruise
Turks and Caicos

Thank you for completing the Toronto Super Turtles Membership Application form.
Send your $50.00 membership fee to:

Toronto Super Turtle Dive Club
1045 Longbow Dr.
Pickering, Ontario
L1V 5W3