Bonne Terre Mine: Halloween Registration Form

Bonne Terre Mine: Halloween 2010

Thank you for signing up to dive with us at the 2010 Bonne Terre Mine Halloween Dives and Party. This registration form is required for each diver so that we may call to confirm your reservation and payment and send you an email with detailed information about the event. We promise to not share your information with anyone. Feel free to call Doug Goergens at 314-209-7200.

Please fill out the form below and press the Submit button at the bottom of the page.


First Name:
Last Name:
Email Address:
Phone:
Alternate Phone:
Age:	18 + Under 18
Optional Information: If you are diving with a friend or a group you can tell us their names. This will help us with scheduling.