Welcome to Lake Travis Scuba! Our Business is Taking a Dive

RESERVATION REQUEST FORM

Full Name

Address

City		State ZIP
Email		Phone
Emergency Contact Name		Emergency Contact Phone
Wednesday Sunset Dive Saturday Morning 8 - noon Saturday Afternoon 1 - 5 pm Sunday Morning 8 - noon Sunday Afternoon 1 - 5 pm 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.