Reservation for SEASIR AKA-Stay Plan-

*Required

Full Name *

Mobile Phone *

E-mail address *

Check-In Date *

Stay plan*
-1 Night Stay & 2 Dives2 Nights Stay & 2 Dives3 Nights Stay & 4 Dives

Type of room*
--Western-style room (private bathroom)Japanese-style room (private bathroom)Western-style room (shared bathroom)

Number of people per stay *

Nationality *

Your certifying organization * （e.g.PADI,NAUI,SSI,...）

Diving Certification Levels *（e.g.OW,AOW,...）

Total Dives Times *

Last Dive Year/Month *

Equipment Rental
No needFull setBCDRegulatorWetsuit MaskDive bootsFinsDive computer
　※Full set including BCD, Regulator, Wetsuit, Mask, Snorkel, Dive boots, Fins, Dive computer.

Message:

【Medical Check】 *
None of the bookers had a YES answer to any of the questions listed in the medical check ('Health Check List'). We therefore agree to take responsibility for consequences related to any omissions or failures to disclose any of our past or present health conditions. *If you had answered YES to any of those questions, please inform SEASIR via email as indicated below. We will review your situation and contact you.
*Read our Health Check List

【Cancellation Policy】 *
I agree and understand the cancellation policy.
*Read our Cancellation Policy

Message：If you wish to stay for 4 nights or more, please indicate it in this section.
　※If you have 2 people or more, please provide each participants' information : Name／Age／Diving certifying organization／Diving Certification Levels／Total Dives Times／Last Dive Year&Month／Equipment Rental(if need).