Reservation Form(Booking Form)

    Personal Information(Group Representative)

    requiredFirst name
    requiredSurname
    requiredSex
    requiredAge
    optionalMobile phone
    requiredE-MAIL
    requiredDive history (Number of dives)
    requiredLast dive

    Product Information (Diving / Snorkeling)

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

    requiredNumber of people
    Fun dive:person(s)Introductory diving:person(s)Snorkeling:person(s)
    requiredTrip/tour date
    requiredArrival date at Ishigaki Island
    requiredArrival flight number
    requiredDeparture date
    optionalHotel
    requiredDive Shop<->Hotel Transfer

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

    requiredGear rental
    optionalAny specific wishes for your dives?
    optionalAdditional comments or requests