Declaration for Intro Dive

Declaration for Intro Dive

You are kindly requested to certify that you are not disqualified medical / mental from diving activities and not suffer from the following: 

* :
no
* :
no
* :
no
* :
no
* :
no
* :
no
* :
no
* :
no
* :
no
* :
yes
* :
* :
* :
* :
* :
* :
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yam@diveisrael.co.il,pilophonix100@gmail.com