To assist us to better tailor and efficiently manage the "Covus Introduction to Offshore Diving" course, it would be appreciated if you could complete the following registration form and email it (press submit) to us prior to the commencement of your training.

Please provide the following contact information:
Title
First Name
Middle Name
Last Name
Known As	i.e. Samuel = Sam
Company
Position
Postal Address
City State, Province
ZIP/Postal Code
Country
Work Phone
Fax
Email
Please identify and describe yourself:
Date of Birth
Sex	Male Female
Are you a recreational diver?
	Yes  No
What level of diver qualifiaction?
How many years have you been working in the offshore industry?
Briefly describe your offshore experience (i.e. extensive, little, new to industry)
Outline any specific goals you would like to achieve during your course.