November 12 - 13, 2005
February 25 - 26; May 06 - 07; August 19 - 20; November 11 - 12, 2006
Sponsor: Leslie Koontz
The Living Seas at EPCOT, Walt Disney World - Orlando, FL
Cost: $475.00
Includes course fee, materials, all SCUBA equipment, certification, and dives at The Living Seas (a $280.00 value)
The course will be conducted at The Living Seas at EPCOT, Walt Disney World - Orlando, FL
- Saturday - 9:00 a.m. to 6:00 p.m. Academics & Exam
- Sunday - 9:00 a.m. to 6:00 p.m. Confined Water Skills & Open Water Dives
The amount of time required for each day may vary. PLEASE DO NOT MAKE ANY
PLANS THAT WILL INTERFERE WITH ANY OF THESE DAYS.
Please bring:
- Two passport-sized photographs of yourself
- Certification card (Instructor, Assistant Instructor, Divemaster)
* All materials and dive equipment are provided and included in the price of the course.
Deposit: $100.00 Due at time of registration
Note: Balance due 30 days prior to course start date. If
registration is within 30 days of course start date, balance is due
in full at time of registration.
Please enroll me in the ITC scheduled for (date)______________
Payment: Make checks payable to Leslie Koontz.
Name ______________________________________________
Address ___________________________________________
City ______________________________________________
State/Province_______________________________________
Zip ____________________
Country __________________
Phone ______________________ E-mail ____________________
Certification: [ ] Instructor [ ] Assistant Instructor [ ] Divemaster
Certification Number ______________________
Certification Date _____/_____/_____
Send completed application and payment to:
Leslie Koontz
19 Wentwood Dr.
De Bary, FL 32713
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