Enrolment Form

Please, fill in your details in the form below. If you are under 18, please use the printable version as your parent's/guardian's signature is necessary.

The 12 months subscription will become valid upon the receipt of the subscription fee of €25.00. The amount can be paid either directly into the Club's bank account nr 14911496016 with Bank of Valletta, Msida Branch or by cheque payable to Calypso Sub-Aqua Club and sent to the club's postal address.

Name *
Surname *
Address
Post code
Date of Birth *
Telephone (mobile) *
Telephone (home)
Telephone (work)
Email *
Diving Qualification *	BSAC PADI CMAS SAA Other:

Note: Required fields are marked with an asterisk (*).