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