High Sierra Divers
(530) 823-6757
info@hsdivers.com
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Dive Equipment Rental Form
Please note that you must complete a separate rental form for each individual.
Diver Information:
First Name
Last Name
E-mail Address
Primary Phone Nr.
Alternate Phone Nr.
Address
Street
City
State
Zip Code
Height (inches)
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
Weight
Pickup Date
Return Date
Needed Equipment and Size:
Wet Suit
Select Wet Suit size
WS - Child 10-12
WS - Child 12-14
WS - XXSM
WS - XSM
WS - Small
WS - Medium
WS - Large
WS - Extra Large
WS - 2X Large
WS - 3X Large
WS - WM XSM
WS - WM Small
WS - WM Med
WS - WM Med Large
WS - WM Large
WS - WM Extra Large
Hood
Yes
No
BC
Select BC size
BC - Extra Small
BC - Small
BC - Medium
BC - Large
BC - Extra Large
Weight Belt
Yes
No
Weight Belt Amount
Regulator
None
Regulator & Console
Regulator & Computer
Computer Only
Number of Tanks
Tank Type & Size
None
Alum 50
Alum 80
Alum 100
Steel 72
Steel 80
Steel 95
Steel 100
Comments
