Go-For-Gold Registration
Take your time to fill out and submit this simple form.
Your Name will be added to our list of participants.
To pay the $25 registration fee, press the "
PayPal
" key to the right.
Use the submit button at the end of the form to send your request.
Your Name:
E-Mail:
Street:
City/Town:
Certification Agency:
Certification Level:
Dive Site Preference:
I have read the
Assumption of Risk Document
(Yes or No):