PADI Course Reservation Form | 奄美大島ダイビングショップ LeapScubaAmami (リープスクーバアマミ)

【Guest Information】

Please select the menu you would like to book.

Guest Status (Have you visited us before?)

Visit to Amami Oshima

Name

e-mail address

Phone number

Travel Itinerary IN

Please select the date you going to arrive to Amami Oshima.

Travel Itinerary OUT

Please select the date you going to depart from Amami Oshima.

Preferred Start Date

Please select the first day of your training.

Aplicants details (Please refill for all applicants)

Please select the number of participants.

Pickup Service

For those using public transportation, we provide pickup from nearest bus stop, "Big II(Big Two)".
▶︎View "Big Ⅱ" on Google Maps

【Pickup Service Areas】

Accommodation

Please enter your hotel name if you would like to request a pickup.

Please check all that apply (Multiple answers allowed)

Please feel free to ask us from below if you have any questions or requests.

you e-mail (Have

★Questionnaire: How did you find us? (Optional)