Equipment Request Form

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Must be submitted to the Dive Locker at least 48 hours in advance.  *Required Field!

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Dive locker hours of operation are Monday through Friday 8:00 AM through 5:00 PM.

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Today's Date:
*Your Name:		*Phone Number:
*Email Address:		*Date of Pickup:
*Date of Return:		*Planned Dive Location:
*Planned Dive Site:		FSU Project Number: (if applicable)
*Purpose of This Dive:	Science Training Proficiency Recreational Other	Research Project Title: (*required only for science dive purpose)
*Diver Status for This Dive:	Science Diver Leadership Candidate Seminole Scuba Club FSU Volunteer Student Other
Billing Information: (*required only for science diver) Institution: Address: Billing Email:
*Cylinders:
*Regulator:	RequiredNo Regulator
*BC (size):	Extra Extra Small Extra Small Small Medium Large Extra Large Other None	*One-piece:	Extra Small Small Medium Large Extra Large None
*Wetsuit Top:	Extra Small Small Medium Large Extra Large 2XL 3XL None	*Wetsuit Bottom:	Extra Small Small Medium Large Extra Large 2XL 3XL None
*Weight Belt:	Small Medium Large Extra Large None	Weights--2 lbs:	1 2 3 4 5
Weights--3 lbs:	1 2 3 4 5	Weights--4 lbs:	1 2 3 4 5
Weights--5 lbs:	1 2 3 4 5	Weights--6 lbs:	1 2 3 4 5
Total Weights (lbs):	(*select weights 2-6 lbs above OR input total weights)
Miscellaneous Gear (lights, reels, cameras etc.) and Comments: