Join North Canterbury Dive Club – North Canterbury Dive Club

First Name

Enter your first name

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Last Name

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Email Address

Enter a valid email address for updates and club communications.

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Phone Number

Enter a valid phone number for emergency contact.

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Address

Enter your full address including street, city, and postcode.

Address Line 1

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Address Line 2

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City

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State

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Postal Code

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Country

Past Diving Experience and Certification levels

Share your past diving experiences or certifications if any.

Do you Have a Boat or Boating Experience

Share your past Boating experiences or certifications if any.

What are your Goals In Joining North Canterbury Dive Club

Membership Type

Select your desired membership type.

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Emergency Contact Name

Enter the name of your emergency contact.

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Emergency Contact Phone

Enter a valid phone number for your emergency contact.

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GDPR Agreement

You must agree to the terms to submit this form.

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North Canterbury Dive Club Inc.