Dayo Scuba - Gear Sign-out Form
4555 Heritage Oak Drive, Orlando, FL 32808
407-292-9727
| Please print & fill in all blanks: | Date In: | Date Out: | |
| Scuba Class: | |||
| Name: | |||
| Address: | |||
| City: | State: | Zip: | |
| Phone: | D.L.# | DOB: | |
| Height: | Weight: | Male/Female: | |
| Tank Serial #s |
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| Regulator #s | |||
| Computer #s | |||
| BC#s | |||
| Suit #s/Sizes: | |||
| Weights/lbs: | |||
| Mask/Snorkels: | |||
| Fins: | |||
| Other: |
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The undersigned, hereafter called the
student, does hereby take temporary possession of the equipment
described above from Dayo Scuba, for use during the scuba class
mentioned above, subject to the following terms and conditions: |
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Signature: Date: |
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