Reservation Form（Booking Form）

Personal Information（Group Representative）

requiredFirst name
requiredSurname
requiredSex	malefemale
requiredAge	teenstwentiesthirtiesfortiesfiftiessixties
optionalMobile phone
requiredE-MAIL
requiredDive history (Number of dives)	noneless than 10 divesless than 30 divesless than 50 dives50 dives and more
requiredLast dive	noneless than 1 month agoless than 3 months agoless than 6 months agoless than 1 year ago1 year and longer ago

※ 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

necessaryunnecessary

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

requiredGear rental

nonecomplete dive setBC and regulatorwetsuitsmask, fins, snorkelunderwater digital camera

optionalAny specific wishes for your dives?

MantasCoralsUnderseascapeTropical fishDive guide’s choiceOthers

optionalAdditional comments or requests

※Cancellation fee is 30% from 2 weeks before the participation date, 50% from 2 days before, and 100% from the day before.