DIVING FOR LIFE MEMBERSHIP REGISTRATION

Anyone can become a member. Use this form to register for a new account on DivingForLife.org. This is NOT jamboree registration.

Contact Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Information
Why are we asking for this information? Filling in your emergency contact information will make future Jamboree registrations faster.
Emergency Contact
Phone
Relationship
DAN Insurance ID#
DFL Member Details
Designate your LGBTQ City OR Scuba Club Affiliation
Note: By selecting Non-Affiliated, your share of the charity funds raised will be distributed evenly across all of the eligible cities/scuba clubs above.
How many DFL's have you attended?
The FIRST DFL I attended was:
The LAST DFL I attended was:
Login Information
Username*
Password*
Enter Password Confirm Password
Strength indicator
Form Submission & Consent
Site terms*
- I agree to the site terms and to receive periodic emails from Diving For Life from which I may unsubscribe at any time.
General Data Protection Regulation (GDPR) Consent*
- I consent to having this website store my submitted information.
Please confirm that you are not a robot.
Name
This field is for validation purposes and should be left unchanged.

Diving For Life Membership Registration