Gildenburgh Diver Registration

STEP1: Choose your payment method

Method 1: Pay securely online here from your PayPal account OR by debit or credit card.
You will need to set your web browser to allow cookies. Click here to find out how.
Please choose the £20 Member Registration option @ £20 in the box below.
The £12 renewal option is only for current members whose dive membership is due to expire soon.

Diver New Registration OR Renewal Payment

OR Method 2: Pay securely on 01733 351288 by debit or credit card

OR Method 3: Pay by cash now if you are at the dive site

If you have completed your registration payment via Method 1: PayPal, enter the PayPal Transaction ID in the registration form below.

If you have completed your registration payment via Method 2: Telephone, enter the Payment Card code in the registration form below.

If you have completed your registration payment via Method 3: At Dive Site, enter the payment code in the registration form below.

IF YOU’VE COMPLETED STEP 1: PAYMENT, NOW COMPLETE STEP 2 BELOW.

STEP 2: Now complete the registration form carefully

Fill out all the required fields and boxes and those applicable to you.
IF YOU MISS ONE AND PRESS “SEND” THE FORM WILL RESET
AND YOU COULD LOSE ALL THE ENTERED DATA.

Email is our preferred way of contacting our members
If you don’t have an email address, call 01733 351288 and speak to Pauline.

    Payment

    Required Payment method

    Required Payment Receipt Number
    PayPal receipt: Copy and paste the Receipt No or Transaction ID from your PayPal payment confirmation email
    Telephone receipt: Enter the last 4 digits Card Receipt given by the payment staff
    Dive Site receipt: Enter the Receipt Number given by the payment staff

    Required Amount Paid £20

    Contact

    Required Email

    Required First name

    Required Last name

    Required Member Check

    Member Number

    Required Gender MaleFemale

    Required Date of birth (dd/mm/yyyy)

    Required City or town

    Required Post code

    Required Preferred phone (H or M)

    Alternative (H or M or Skype)

    Profession or trade

    Required Subscribe to our newsletter
    We will not pass your details to any other company
    but we may email you updates, news and developments

    Diving status - Qualified or Not Qualified?

    Applicable? Tick the box.I am not a qualified diver
    but I am training with

    Qualifications

    Applicable? I am a qualified diver. Here are my qualifications.

    Applicable? AIR Agency

    Applicable? AIR Certification

    Applicable? NITROX Agency

    Applicable? NITROX Certification

    Applicable? TECH Agency

    Applicable? TECH Certification

    Applicable? REBREATHER Agency

    Applicable? REBREATHER Certification

    Required Club or school

    Applicable? Tick if you takeU/W PhotosU/W Videos

    Professional instructors only

    Applicable? Minimum professional declaration Tick all 7 boxes

  • I intend to teach in a professional capacity
  • I hold a current instructor certification
  • I hold a current HSE Certificate of Medical Fitness
  • I hold a current CPR Certificate
  • My diving equipment has been serviced in the past 6 months and I hold servicing verification certificates
  • I will complete and retain an Operations Record for each dive
  • I will have a Standby Diver and Surface Supervisor for each dive

    • ID photo for your member card

    Please send a head and shoulders passport-style photo (smiling is OK) to Pauline Forster at pauline@divein.co.uk

    Terms and conditions

  • The above information can be stored and used to contact me.
  • If I have not attached an ID photo to this form, or emailed it to ian@gildenburgh.com, I will need to have one taken at the dive site on my next visit to enable my member card to be produced.
  • I will show my member card when I check in or pay the non-member entry fee.
  • I will place the most current entry receipt in a visible position on the dashboard of my car to permit visual checks by dive site staff.
  • I dive at my own risk.
  • I dive in accordance with the safe diving practices of my certification agency.
  • I will regularly read, stay current with, and abide by the regulations, recommendations and procedures as published from time to time at the dive site and on this website, particularly those relating to emergency action.
  • In the event of a missing diver emergency, dive site staff may ask for suitably qualified divers to assist with the search and rescue. If I have been rescue trained, and have sufficient air and no-decompression time, I will be willing to assist.

    • Under 18?

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

    Applicable? Name

    Applicable? Relationship

    Required I am 18 or older andI accept and agree to all terms

    After you hit the 'Send' button below

    You'll receive confirmation that ...
    "Your Dive Registration was sent successfully to Gildenburgh Water, and an auto-confirmation email has just been sent to your email address. Please check your inbox and spam-junk folders."
    and we’ll send you a confirmation email

    Now click the correct captcha icon, then hit the 'Send' button below and check your inbox and spam folder for our auto reply email.

    Please prove you are human by selecting the Star.