Registration Form

          Name:                                                                            Phone #:


          City:                                       State:               Zip:                       Gender:

     Birthday:                           Parents/Guardian:                                               

          e-mail address:                                    

  How did you hear about us?:    

Send To:  Georgia Diving Club
                  1170 Calls Creek Dr.
                  Watkinsville, GA 30677        

**Only mail if you are not sumbitting online, REGISTER ONLINE by clicking the submit button below**

INSURANCE (See AAU registration Information)
Before a divers can start with our program he/she must pay a $20.00 fee 
for insurance.  This is a yearly fee which covers him/her with secondary insurance
for that year.   For more information on insurance please contact 
Jonathan Fennelly at 706-286-0890. All Divers will need to register BEFORE their first class.