RESERVATION REQUEST FORM
Full Name
Address
City
State
ZIP
Email
Phone
Emergency Contact Name
Emergency Contact Phone
Friday Sunset Dive
Saturday 10:00 - 2:00
Sunday 10:00 - 2:00
Other Time
Date of Dive
Comments
Certification Acy.
PADI
Naui
SSI
Other
Level
Open Water
Advanced
Technical
Other
Cert./Card Number
Cert. Year
Please ensure that your contact information is accurate as you will be contacted by Lake Travis
Scuba to provide a Credit Card Number to hold your reservation. Your card will not be charged
until the dive is complete. Review our
Cancellation and Refund Policy
for information on cancellation, and check here
to indicate that you agree with these policies.
