Reservation Form(Booking Form)

Personal Information(Group Representative)

First name (required):

Surname (required):

Sex (required):malefemale

Age :teenstwentiesthirtiesfortiesfiftiessixties

Mobile phone (optional):

EMAIL (required):

Dive history (Number of dives) (required):
noneless than 10 divesless than 30 divesless than 50 dives50 dives and more

Last dive (required):
noneless than 1 month agoless than 3 months agoless than 6 months agoless than 1 year ago1 year and longer ago

Product Information (Diving / Snorkeling)

※ Please include choices of all participants including the group representative.

Number of people:

Fun dive: person(s)  Introductory diving: person(s)  Snorkeling: person(s)

Trip/tour date (required):

Arrival date at Ishigaki Island (required):

Arrival flight number (required):

Departure date (required):

Hotel:

Dive Shop<->Hotel Transfer:necessaryunnecessary

※ Please contact Aqua no Jikan regarding Airport⇔Hotel transfer (limited
to Kabira area)

Gear rental:nonecomplete dive setBC and regulatorwetsuitsmask, fins, snorkelunderwater digital camera

Additional comments or requests

Any specific wishes for your dives?

MantasCoralsUnderseascapeTropical fishDive guide’s choiceOthers