Scubadillo Dive Club

Membership Form

Our Early Bird Special is back for November and December: get 13 to 14 months of membership at a discount when you renew early. You'll also be all set for our upcoming Chili Cookoff and annual Christmas Party.

Membership Status*

New
Renewal

Membership Type*

Individual ($26.50)
Early bird special - normal price $35+transaction fee
(includes $1.50 online transaction fee)
Family ($41.50)
Early bird special - normal price $50+transaction fee
(includes $1.50 online transaction fee)

Total

$26.50

Note: Divers will be asked to sign a Liability Release before participating in club dives. They should also carry dive insurance.

Member Information

Name*

Age*

Phone Number*

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Certified Diver*

Emergency Contact

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone*

Would you like to be involved in a committee?

Local Dive
Ocean Dive
Social
Membership

Join the Scubadillos' E-Mail List

By submitting this form you are authorizing Scubadillo Dive Club to use photographs or videos taken at club events, in which your image may appear, as promotional material for the club in electronic or print media without expecting payment. As respects family memberships, you are also authorizing the use of images of minor family members in said promotional material.

Billing Information

Secure checkout | PCI compliant

Express Checkout

Or Enter Payment Info

Email*

Name*

Credit Card*Secure Payment

Address*

Safe & Secure Checkout PCI-compliant • 256-bit AES encryption

This page is secured with 256 bit encryption

Fundraising Software by GivingFuel