Your Contact Details

Required Your First Name

Required Your Last Name

Required Your Email

Required Your Mobile Phone

Required Enter Your Current Dive Membership Number OR NM(if Non Member)

Required. Select the payment for Your dive session to match duration and member (M) or non-member (NM).—Please choose an option—M All Day £15NM All Day £20M After 5pm Wed & Fri £13NM After 5pm Wed & Fri £18

Required If available in the above chart, select the date of your dive session. —Please choose an option—25/09/202326/09/202327/09/202328/09/202329/09/202330/09/202301/10/202302/10/202303/10/202304/10/202305/10/202306/10/202307/10/202308/10/202309/10/202310/10/202311/10/202312/10/202313/10/202314/10/202315/10/202316/10/202317/10/202318/10/202319/10/202320/10/202321/10/202322/10/202323/10/202324/10/202325/10/202326/10/202327/10/202328/10/202329/10/202330/10/202331/10/202301/11/202302/11/202303/11/202304/11/202305/11/202306/11/202307/11/202308/11/202309/11/202310/11/202311/11/202312/11/202313/11/202314/11/202315/11/202316/11/202317/11/202318/11/202319/11/202320/11/202321/11/202322/11/202323/11/202324/11/202325/11/202326/11/202327/11/202328/11/202329/11/202330/11/202301/12/202302/12/202303/12/202304/12/202305/12/202306/12/202307/12/202308/12/202309/12/202310/12/202311/12/202312/12/202313/12/202314/12/202315/12/202316/12/202317/12/202318/12/202319/12/202320/12/202321/12/202322/12/202323/12/202324/12/202327/12/202328/12/202329/12/202330/12/202331/12/2023

Required. If available in the above chart, select the planned start time of your dive session, excluding 30 mins before the session for payment, fills, Covid briefing, kit-up & buddy check and refills. —Please choose an option—08:0009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:00

Required. If available in the above chart, select the planned end time of your dive session, excluding 30 mins after the session for dekit, dive log completion and refills. —Please choose an option—09:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:00

Required Enter Training Agency Dive Certification

Required Buddy Diver First & Last Name

Optional Threesome Diver First & Last Name

Your Agreement

Read the following paragraphs carefully.

This statement, which includes a Statement of Risks and Liability, informs you of some potential risks involved in diving. If you are aged 17 or younger, your parent or guardian must read this and sign below.

Statement of Risk and Liability

This is a statement in which you are informed of the risks of diving at Gildenburgh Water. The statement also sets out the circumstances in which you participate at your own risk.

Your signature on this statement is required as proof that you have received and read this statement. It is important that you read the contents of this statement before signing it. If you do not understand anything contained in this statement, then please discuss it with Ian Forster, the owner of Gildenburgh Water.

Acceptance of Risk

I understand and agree that neither the Gildenburgh Water Staff Members (“Members”), nor the facility Gildenburgh Water, nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns accept any responsibility for any death, injury or other loss suffered by me to the extent that it result from my own conduct or any matter or condition under my control that amounts to my own contributory negligence.

In the absence of any negligence or other breach of duty by the Gildenburgh Water Staff Members (“Members”), nor the facility Gildenburgh Water, and all parties referred to above, my participation is entirely at my own risk.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS PARTICIPANT AGREEMENT BY READING ALL PARTS OF IT BEFORE TICKING THE BOX BELOW AS MY DIGITAL AGREEMENT.

Under 18?

Your parent or guardian must enter their name and relationship below, and also tick the agreement box for you under Required below

Applicable? Name

Applicable? Relationship —Please choose an option—FatherMotherGuardian

Required I am 18 or older, and I hereby tick the "I agree" box provided as my digital agreementI agree

PLEASE READ THE 3 IMPORTANT STEPS BELOW TO AVOID MULTIPLE ENTRIES OF YOUR BOOKING FORM!!

If you have completed all the required fields, and ticked the "I agree" box above, then you should receive a message below the 'SEND' button, "Your dive session booking has been successfully sent to Gildenburgh Water.HOWEVER YOU WILL NOT RECEIVE A CONFIRMATION EMAIL."

1. HOWEVER A NUMBER OF AREAS ARE EXPERIENCING SLOW INTERNET. SO IF YOU RECEIVE THE ERROR MESSAGE "There was an error trying to send your message", OR THE LOADING CIRCLE TO THE RIGHT OF THE SEND BUTTON KEEPS SPINNING, YOU MAY HAVE MISSED A FIELD OR THE INTERNET IS SLOW.

2. IF ALL FIELDS HAVE BEEN COMPLETED HIT SEND AGAIN ONCE.

3. IF YOU DON'T GET A SENT SUCCESSFULLY MESSAGE AFTER 2 ATTEMPTS CALL Gildenburgh on 01733 351288 when the site is open (see opening days and hours in chart above), AND WE'LL CHECK IF YOUR FORM HAS BEEN RECEIVED.

Now click the correct captcha icon, then hit the 'SEND' button below, and read the message underneath 'SEND' to check your booking was sent successfully, AND THAT YOU WILL NOT RECEIVE A CONFIRMATION EMAIL.

Please prove you are human by selecting the cup.