*

Reservation

CANCELATION CHARGE

In case you have to cancel your diving reservation with us, we charge the following fees:
50% of diving fee if you cancel on the DAY BEFORE the booked dive.
100% of diving fee if cancel on the DAY itself.
If you have any special request, please tell us on your reservation.

[Important!]

For who using free email service such as Yahoo mail, Hotmail, Gmail…

Please check your spam folder if you haven’t received our reply within 3days.

Please contact to us if there is no reply found in your spam folder, errors of delivery may occurred.

Email:c_mailor Call: (+81) 980-88-2434.

NAME(Required)

Nationality(Required)

E-mail(Required)

Phone contact or Email in Japan(Required)
 TEL Email Inform to Hotel

Period of stay in Ishgiaki
IN

OUT

Diving date(Required)
From:
Period: days

Accommodation

How many people?(Required)

Diving menu(Required)


Diving experience&Rental gears
If you require rental gear, please fill in your size information.

Please fill in the height, weight and foot size of those who would like to join our Introduction Dive course, or Snorkeling session.

Diver#1
Name
Sex  Female Male
Age

How many dives have you done? Dives

Rental gears
 Yes No

 Full Rental BCD Regulator Wet suit Mask, snorkel, fin
Height cm Weight kg Foot size cm


Diver#2
Name
Sex  Female Male
Age
How many dives have you done? Dives

Rental gears
 Yes No
 Full Rental BCD Regulator Wet suit Mask, snorkel, fin
Height cm Weight kg Foot size cm


Diver#3
Name
Sex  Female Male
Age

How many dives have you done? Dives

Rental gears
 Yes No
 Full Rental BCD Regulator Wet suit Mask, snorkel, fin
Height cm Weight kg Foot size cm


Diver#4
Name
Sex  Female Male
Age

How many dives have you done? Dives

Rental gears
 Yes No
 Full Rental BCD Regulator Wet suit Mask, snorkel, fin
Height cm Weight kg Foot size cm

*Please divide reservation form or inform to us from comments below
when you would like to apply more than 4 people.


Visiting Umicoza
Have you ever visited our "Diving school Umicoza" ?
 Yes No

Food allergies
Do you have food allergies?
 Yes No
Yes:

Do you need a vegetarian meal?
 Yes No
Yes:

Do you need transport service(Hotel-Dive shop)on the day?
 Yes No

Comments
If you have any special request or question,
please write your comments here.