Full Name E-mail Address Phone Number Age Sex FemaleMale Have you had any injuries related to diving or other activities? If yes, please describe it briefly. Do you have basic swimming skill? (Minimum 200m continuous swimming on the surface) YesNo You have read and understood the following documents and accept their terms and conditions: Liability statement, Medical questionnare, ApneaHub rules IgenNem Do you need to rent any equipment? I have the necessary equipment based on the ApneaHub rulesMaskSnorkelFinsWeightbelt and weightsWetsuitLanyard What service are you interested in? Beginner freediving courseAdvanced freediving courseCombined freediving courseEQ workshopIntro diveI only apply for the dives included in the registration fee When would you participate on the Apnea Therapy? Warm up week 30.04.2023 - 12.05.2023Training camp 14 - 19.05.2023The deepest week 28.05.2023 - 02.06.2023Different dates with individual offer Do you allow us to use photos and videos of the event for marketing purposes? YesNo T-shirt size? SMLXLXXL Do you have any questions or comments for us? By sending this application form, I declare that I agree to the use of my above personal data entered in the form, for the purpose of processing them by the ApneaHub as the organizer of the event. I also accept that the above data can be used by ApneaHub during all other activities related to the event. I give the consent in question voluntarily, and I am aware that I can withdraw it at any time by written request. I accept Download the documents below and upload them signed! Medical Questionnaire Liability Apneahub Rules Please attach the following documents (at latest till the deadline)! 1. Valid medical certificate (< 1 year) 2. Valid diving insurance 3. Freediving card (if you have) 4. ApneaHub rules 5. Liability 6. Medical questionnaire (Max. 10MB size) Add required documents ❌ ❌
