New Student Registration Form

Welcome to SCUBAfy! Please complete all of the required information below, and examine our online Class Schedule Calendar. Once you submit the information, please allow about 24 hours for it to get into our system. Once the form is processed, you will be able to register for your Classes using our "Self-Book" feature by clicking on the class in our Calendar.

Student Information

(MM/DD/YYYY)
Please check EACH DAY that you might be available for classes.
(Note: Open Water Dives and Pool Sessions are held during daylight hours only)
Click here to open the date picker
Please fill out this form as completely as possible. If you have any questions or problems, please do not hesitiate to call us at at 702-293-2021, or via Email at:
reset
PLEASE NOTE: If you are not automatically redirected to our "Thank-You" page, you may have missed a required field, and the form HAS NOT BEEN SUBMITTED! Please check for any error messages at the top of the form and re-submit.