{"id":2697,"date":"2023-09-06T09:06:05","date_gmt":"2023-09-06T02:06:05","guid":{"rendered":"https:\/\/sawasdee.1iota.xyz\/?page_id=2697"},"modified":"2023-09-21T13:03:04","modified_gmt":"2023-09-21T06:03:04","slug":"reservation-form","status":"publish","type":"page","link":"https:\/\/th-staging.sawasdee-divers.com\/th\/reservation-form\/","title":{"rendered":"\u0e41\u0e1a\u0e1a\u0e1f\u0e2d\u0e23\u0e4c\u0e21\u0e01\u0e32\u0e23\u0e08\u0e2d\u0e07"},"content":{"rendered":"\n<div class=\"wp-block-greenshift-blocks-container alignfull gspb_container gspb_container-gsbp-04924c91-2962\" id=\"gspb_container-id-gsbp-04924c91-2962\"><div class=\"gspb_shape-divider-container gspb_shape-divider-container--bottom\"><svg data-style=\"27\" x=\"0px\" y=\"0px\" viewBox=\"0 0 1200 120\" preserveAspectRatio=\"none\"><path data-style=\"27\" class=\"gspb_st2 gspb_shape_2\" 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fill=\"url(#sthirdbottomgsbp-04924c91-2962)\"><\/path><defs><linearGradient id=\"sfirstbottomgsbp-04924c91-2962\"><stop style=\"stop-color:#95c7e891\" offset=\"0%\"><\/stop><stop style=\"stop-color:#0b71b594\" offset=\"100%\"><\/stop><\/linearGradient><linearGradient id=\"ssecondbottomgsbp-04924c91-2962\"><stop style=\"stop-color:#0b71b5ad\" offset=\"0%\"><\/stop><stop style=\"stop-color:#95c7e8b8\" offset=\"100%\"><\/stop><\/linearGradient><linearGradient id=\"sthirdbottomgsbp-04924c91-2962\"><stop style=\"stop-color:#95c7e8bf\" offset=\"0%\"><\/stop><stop style=\"stop-color:#0b71b599\" offset=\"100%\"><\/stop><\/linearGradient><\/defs><\/svg><\/div>\n<div class=\"wp-block-cover\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-0 has-background-dim\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"1800\" height=\"754\" class=\"wp-block-cover__image-background wp-image-324\" alt=\"\" src=\"https:\/\/th-staging.sawasdee-divers.com\/wp-content\/uploads\/2023\/08\/PADI\u00ae_ProAcq_1.webp\" data-object-fit=\"cover\" srcset=\"https:\/\/th-staging.sawasdee-divers.com\/wp-content\/uploads\/2023\/08\/PADI\u00ae_ProAcq_1.webp 1800w, https:\/\/th-staging.sawasdee-divers.com\/wp-content\/uploads\/2023\/08\/PADI\u00ae_ProAcq_1-300x126.webp 300w, https:\/\/th-staging.sawasdee-divers.com\/wp-content\/uploads\/2023\/08\/PADI\u00ae_ProAcq_1-1024x429.webp 1024w, https:\/\/th-staging.sawasdee-divers.com\/wp-content\/uploads\/2023\/08\/PADI\u00ae_ProAcq_1-768x322.webp 768w, https:\/\/th-staging.sawasdee-divers.com\/wp-content\/uploads\/2023\/08\/PADI\u00ae_ProAcq_1-1536x643.webp 1536w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h1 id=\"gspb_heading-id-gsbp-9f0cfea3-bd60\" class=\"gspb_heading gspb_heading-id-gsbp-9f0cfea3-bd60 \">Dive Course and Dive Trip Bookings<\/h1>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container alignwide gspb_container gspb_container-gsbp-b3cb98b2-0d64\" id=\"gspb_container-id-gsbp-b3cb98b2-0d64\">\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-3d7f5968-7b1a\" id=\"gspb_container-id-gsbp-3d7f5968-7b1a\">\n<h3 class=\"wp-block-heading has-text-align-center has-basecolor-color has-text-color has-link-color wp-elements-1\" id=\"for-dive-courses-and-dive-trip-bookings-please-complete-your-details-below\">For <a href=\"https:\/\/th-staging.sawasdee-divers.com\/padi-courses\/\">Dive Courses<\/a> and <a href=\"https:\/\/th-staging.sawasdee-divers.com\/ao-nang-dive-trips\/\">Dive Trip<\/a> Bookings please complete your details below.<\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-greenshift-blocks-container gspb_container gspb_container-gsbp-5b8e5cfc-2261\" id=\"gspb_container-id-gsbp-5b8e5cfc-2261\">\n<p class=\"has-contrastcolor-color has-text-color wp-block-paragraph\" style=\"margin-top:0;margin-right:0px;margin-bottom:0;margin-left:0px;padding-right:0;padding-left:0\">For general queries and pre-booking inquiries please use the contact form.<\/p>\n\n\n\n<div class=\"wp-block-greenshift-blocks-button gspb_button_wrapper gspb_button-id-gsbp-ee2f9454-ec66\" id=\"gspb_button-id-gsbp-ee2f9454-ec66\"><a class=\"gspb-buttonbox\" href=\"https:\/\/th-staging.sawasdee-divers.com\/contact#contact-form\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Contact Us<\/span><\/span><\/span><\/a><\/div>\n<\/div>\n\n\n<div class='fluentform ff-default fluentform_wrapper_3  ff_guten_block ff_guten_block-3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ff_has_dynamic_smartcode ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Booking Form<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_3_item_sf\" aria-label=\"Contact\">\n                    Contact                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_3__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_3_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='2697' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"d96a7b4458\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/th\/wp-json\/wp\/v2\/pages\/2697\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_1 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_'>First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"your first name\" autocomplete=\"given-name\" tabindex=\"1\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_last_name_' id='label_ff_3_names_last_name_'>Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"your family name\" autocomplete=\"family-name\" tabindex=\"2\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class=\"width-50 ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_country_' id='label_ff_3_address_1_country_'>Country<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_3_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"Select Country\" data-key_name=\"country\" tabindex=\"3\" aria-invalid='false' aria-required=true><option value=''>Select Country<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group width-50'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_datetime' id='label_ff_3_datetime'>Date Of Birth<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date Of Birth Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_3_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime\" tabindex=\"4\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group width-50'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_numeric-field' id='label_ff_3_numeric-field'>Phone Number \/ WhatsApp Number<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_3_numeric-field\" class=\"ff-el-form-control\" placeholder=\"+[your country code] number\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\" tabindex=\"5\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><p><strong>Do not forget to include you Country Code with your telephone number.<\/strong><\/p><\/div><div class='ff-el-group width-50'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' id='label_ff_3_email'>Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" autocomplete=\"email\" data-name=\"email\" tabindex=\"6\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_2\" ><hr><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_3\" ><h4>Your Diving Experience<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Your Current Certification or Equivalent Level<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_55db2c33cdf3a633ea5b890d9b043d92'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"7\" value=\"No certification\"  id='input_radio_1_55db2c33cdf3a633ea5b890d9b043d92' aria-label='No certification' aria-invalid='false' aria-required=true> <span>No certification<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_abc0e6e7e13a0654f901aa84158f0040'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI SCUBA Diver\"  id='input_radio_1_abc0e6e7e13a0654f901aa84158f0040' aria-label='PADI SCUBA Diver' aria-invalid='false' aria-required=true> <span>PADI SCUBA Diver<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_b8997ec7e1ed0743ca96c68223f00a9e'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI Open Water Diver\"  id='input_radio_1_b8997ec7e1ed0743ca96c68223f00a9e' aria-label='PADI Open Water Diver' aria-invalid='false' aria-required=true> <span>PADI Open Water Diver<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_9b47292157ff1204b1de57bdc763e853'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI Adventure Diver\"  id='input_radio_1_9b47292157ff1204b1de57bdc763e853' aria-label='PADI Adventure Diver' aria-invalid='false' aria-required=true> <span>PADI Adventure Diver<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_aeec5059c041946b08820242aedca901'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI Advanced Open Water Diver\"  id='input_radio_1_aeec5059c041946b08820242aedca901' aria-label='PADI Advanced Open Water Diver' aria-invalid='false' aria-required=true> <span>PADI Advanced Open Water Diver<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_c65523f7a90d3bd39710119e8a139f54'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI Rescue Diver\"  id='input_radio_1_c65523f7a90d3bd39710119e8a139f54' aria-label='PADI Rescue Diver' aria-invalid='false' aria-required=true> <span>PADI Rescue Diver<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_9cb8a849c4d402f0c7901208ae5dedad'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI Divemaster\"  id='input_radio_1_9cb8a849c4d402f0c7901208ae5dedad' aria-label='PADI Divemaster' aria-invalid='false' aria-required=true> <span>PADI Divemaster<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_a678caf3c6e94ead4a84c4ec6571a6a6'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"PADI Instructor\"  id='input_radio_1_a678caf3c6e94ead4a84c4ec6571a6a6' aria-label='PADI Instructor' aria-invalid='false' aria-required=true> <span>PADI Instructor<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_3a5155d66b53386b9c3fef1d32adc156'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" tabindex=\"-1\" value=\"Other  - Please Specify...\"  id='input_radio_1_3a5155d66b53386b9c3fef1d32adc156' aria-label='Other  - Please Specify...' aria-invalid='false' aria-required=true> <span>Other  &#8211; Please Specify&#8230;<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text' id='label_ff_3_input_text'>Other Certification;<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" tabindex=\"8\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_datetime_1' id='label_ff_3_datetime_1'>Date Of Last Dive<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date Of Last Dive Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_3_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_1\" tabindex=\"9\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric-field_1' id='label_ff_3_numeric-field_1'>Number of Logged Dives<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_3_numeric-field_1\" class=\"ff-el-form-control\" data-name=\"numeric-field_1\" inputmode=\"numeric\" step=\"any\" min=\"0\" aria-valuemin=\"0\" tabindex=\"10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_4\" ><hr><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_5\" ><h4>Your stay dates and accommodation in Krabi.<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_1' id='label_ff_3_input_text_1'>Accommodation<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"where are you staying...\" data-name=\"input_text_1\" tabindex=\"11\" id=\"ff_3_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_datetime_2' id='label_ff_3_datetime_2'>Arrival Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Arrival Date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_2\" id=\"ff_3_datetime_2\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_2\" tabindex=\"12\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_datetime_3' id='label_ff_3_datetime_3'>Departure Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Departure Date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_3\" id=\"ff_3_datetime_3\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_3\" tabindex=\"13\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_6\" ><hr><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_2 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_7\" ><h4>Which Dive Trips would you like to book?<\/h4>\n<p><strong>This is for certified divers only.<\/strong><br \/>For divers with no experience, see Courses below&#8230;<\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  >Dive Trips<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_f3564b9dd0975d080ba396c96bc0826a'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"14\" value=\"Ao Nang Islands\"  id='checkbox_2_f3564b9dd0975d080ba396c96bc0826a' aria-label='Ao Nang Islands' aria-invalid='false' aria-required=false> <span>Ao Nang Islands<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_547af37dfb621f21e3db3f9b1908ff4b'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Phi Phi Islands\"  id='checkbox_2_547af37dfb621f21e3db3f9b1908ff4b' aria-label='Phi Phi Islands' aria-invalid='false' aria-required=false> <span>Phi Phi Islands<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_f72e5a6b4784df027f520a928e8be1ed'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Shark Point A-S-K\"  id='checkbox_2_f72e5a6b4784df027f520a928e8be1ed' aria-label='Shark Point A-S-K' aria-invalid='false' aria-required=false> <span>Shark Point A-S-K<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-3_8\" ><h4>Preferred Dates for Dive Trips<\/h4><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_datetime_6' id='label_ff_3_datetime_6'>Ao Nang Islands Dive Trip<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Ao Nang Islands Dive Trip Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_6\" id=\"ff_3_datetime_6\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_6\" tabindex=\"15\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_datetime_8' id='label_ff_3_datetime_8'>Phi Phi Islands Dive Trip<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Phi Phi Islands Dive Trip Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_8\" id=\"ff_3_datetime_8\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_8\" tabindex=\"16\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-3_9\" ><p>Phi Phi Islands dive trips are available daily between 1st&nbsp;November \u2011 \u00a031st&nbsp;March.<\/p>\n<p>All trips are subject to change of destination due to weather conditions or customer numbers.\u00a0<\/p><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_datetime_9' id='label_ff_3_datetime_9'>Shark Point A-S-K Dive Trip<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Shark Point A-S-K Dive Trip Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_9\" id=\"ff_3_datetime_9\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_9\" tabindex=\"17\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-3_10\" ><div>Passengers are welcome, but this area is not suitable for snorkeling or swimming\u00a0<\/div>\n<div>Advanced Open water level required for the King Cruiser dive site.\u00a0<\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_2 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_11\" ><h4>Which Course(s) Would You Like To Sign Up For?<\/h4><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  >Select Your Courses<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_d53886f135ff33eab6630f3c53464edb'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"18\" value=\"Discover SCUBA Diving (no experience needed)\"  id='checkbox_d53886f135ff33eab6630f3c53464edb' aria-label='Discover SCUBA Diving (no experience needed)' aria-invalid='false' aria-required=false> <span>Discover SCUBA Diving (no experience needed)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5743a3c3cb93e9e5a18fdf30657f61e1'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI SCUBA Diver Course (Beginner Course)\"  id='checkbox_5743a3c3cb93e9e5a18fdf30657f61e1' aria-label='PADI SCUBA Diver Course (Beginner Course)' aria-invalid='false' aria-required=false> <span>PADI SCUBA Diver Course (Beginner Course)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_ab2a11b87a740d0671d27efa0c959d99'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Open Water Diver Course (Beginner Course)\"  id='checkbox_ab2a11b87a740d0671d27efa0c959d99' aria-label='PADI Open Water Diver Course (Beginner Course)' aria-invalid='false' aria-required=false> <span>PADI Open Water Diver Course (Beginner Course)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_70eab9d217a63053a51d53be616fb817'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Open Water Diver Referral\"  id='checkbox_70eab9d217a63053a51d53be616fb817' aria-label='PADI Open Water Diver Referral' aria-invalid='false' aria-required=false> <span>PADI Open Water Diver Referral<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_72ea2c9b2fa62541a80cb0ce08383aa6'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Reactivate \/ Refresher Course\"  id='checkbox_72ea2c9b2fa62541a80cb0ce08383aa6' aria-label='Reactivate \/ Refresher Course' aria-invalid='false' aria-required=false> <span>Reactivate \/ Refresher Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_60517f0ef288c6a71b70ec0b5372e789'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Adventure Diver Course \"  id='checkbox_60517f0ef288c6a71b70ec0b5372e789' aria-label='PADI Adventure Diver Course' aria-invalid='false' aria-required=false> <span>PADI Adventure Diver Course <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_33f7c6aa8cfa6813f50b3fd7cd9c84cb'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Advanced Open Water Diver Course\"  id='checkbox_33f7c6aa8cfa6813f50b3fd7cd9c84cb' aria-label='PADI Advanced Open Water Diver Course' aria-invalid='false' aria-required=false> <span>PADI Advanced Open Water Diver Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_93aa51a2221ac7eabe527d700aa28882'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Rescue Diver Course \"  id='checkbox_93aa51a2221ac7eabe527d700aa28882' aria-label='PADI Rescue Diver Course' aria-invalid='false' aria-required=false> <span>PADI Rescue Diver Course <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_f1180a792d4e0eab3d0c0c4a32b42eb0'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Enriched Air Nitrox Course\"  id='checkbox_f1180a792d4e0eab3d0c0c4a32b42eb0' aria-label='PADI Enriched Air Nitrox Course' aria-invalid='false' aria-required=false> <span>PADI Enriched Air Nitrox Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_221fd8b55be0045526eee9fd55c14ef9'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Specialty Course - please specify below\"  id='checkbox_221fd8b55be0045526eee9fd55c14ef9' aria-label='PADI Specialty Course - please specify below' aria-invalid='false' aria-required=false> <span>PADI Specialty Course &#8211; please specify below<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_6c0fdf60cf78eed9f81a0fb66cffd82b'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Emergency First Response Course\"  id='checkbox_6c0fdf60cf78eed9f81a0fb66cffd82b' aria-label='Emergency First Response Course' aria-invalid='false' aria-required=false> <span>Emergency First Response Course<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label  >Select Your Specialty<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_37d11e035d4770af9c890116fac6b477'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"19\" value=\"PADI Deep Diver Specialty Course\"  id='checkbox_1_37d11e035d4770af9c890116fac6b477' aria-label='PADI Deep Diver Specialty Course' aria-invalid='false' aria-required=false> <span>PADI Deep Diver Specialty Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_c4def2d7c3f1ff3a734e75ae76b9b67e'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Night Diver Specialty Course\"  id='checkbox_1_c4def2d7c3f1ff3a734e75ae76b9b67e' aria-label='PADI Night Diver Specialty Course' aria-invalid='false' aria-required=false> <span>PADI Night Diver Specialty Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_21ebc89216ed8a5723509d9ace07c1c2'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Underwater Navigation Specialty Course\"  id='checkbox_1_21ebc89216ed8a5723509d9ace07c1c2' aria-label='PADI Underwater Navigation Specialty Course' aria-invalid='false' aria-required=false> <span>PADI Underwater Navigation Specialty Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_f32446734c711f3f29a6885dd9fe7f62'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Wreck Diver Specialty Course\"  id='checkbox_1_f32446734c711f3f29a6885dd9fe7f62' aria-label='PADI Wreck Diver Specialty Course' aria-invalid='false' aria-required=false> <span>PADI Wreck Diver Specialty Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_ff97cc6a655b0bb009c280979344ba4d'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"Other Specialty Course\"  id='checkbox_1_ff97cc6a655b0bb009c280979344ba4d' aria-label='Other Specialty Course' aria-invalid='false' aria-required=false> <span>Other Specialty Course<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description' id='label_ff_3_description'>Request A PADI Specialty Course<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description\" name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" placeholder=\"Which specialty would you like to book?\" rows=\"3\" cols=\"2\" data-name=\"description\" tabindex=\"20\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label  >PADI Divemaster and Instructor Courses<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_37e9edad30b64a2f742d5d4b0ff00840'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"21\" value=\"PADI Go Pro\"  id='checkbox_4_37e9edad30b64a2f742d5d4b0ff00840' aria-label='PADI Go Pro' aria-invalid='false' aria-required=false> <span>PADI Go Pro<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label  >PADI Pro Courses and IDC<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_7e498755e48fa4ffa70344312d528246'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"22\" value=\"PADI Divemaster Course\"  id='checkbox_3_7e498755e48fa4ffa70344312d528246' aria-label='PADI Divemaster Course' aria-invalid='false' aria-required=false> <span>PADI Divemaster Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_73b1592aeb4efba779b8da5457b792e1'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Assistant Instructor Course\"  id='checkbox_3_73b1592aeb4efba779b8da5457b792e1' aria-label='PADI Assistant Instructor Course' aria-invalid='false' aria-required=false> <span>PADI Assistant Instructor Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_4da312093f3338a5f059de1735023b3d'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Instructor IDC\"  id='checkbox_3_4da312093f3338a5f059de1735023b3d' aria-label='PADI Instructor IDC' aria-invalid='false' aria-required=false> <span>PADI Instructor IDC<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_cdced9371fc9c0e92a815cb7497f2776'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"EFR Instructor Course\"  id='checkbox_3_cdced9371fc9c0e92a815cb7497f2776' aria-label='EFR Instructor Course' aria-invalid='false' aria-required=false> <span>EFR Instructor Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_81fe1ec5d2c5a502dcf3ee15fa28d1fc'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"EFR for Children Instructor Course\"  id='checkbox_3_81fe1ec5d2c5a502dcf3ee15fa28d1fc' aria-label='EFR for Children Instructor Course' aria-invalid='false' aria-required=false> <span>EFR for Children Instructor Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_475452904340278add58154b00f64de4'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Specialty Instructor Course\"  id='checkbox_3_475452904340278add58154b00f64de4' aria-label='PADI Specialty Instructor Course' aria-invalid='false' aria-required=false> <span>PADI Specialty Instructor Course<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_4715b49ff976c19f46589b0ab193f1af'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"-1\" value=\"PADI Staff Instructor Course\"  id='checkbox_3_4715b49ff976c19f46589b0ab193f1af' aria-label='PADI Staff Instructor Course' aria-invalid='false' aria-required=false> <span>PADI Staff Instructor Course<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description_2' id='label_ff_3_description_2'>Request A PADI Specialty Instructor Course<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description_2\" name=\"description_2\" id=\"ff_3_description_2\" class=\"ff-el-form-control\" placeholder=\"Which Specialty Instructor Course(s) would you like to book?\" rows=\"3\" cols=\"2\" data-name=\"description_2\" tabindex=\"23\" ><\/textarea><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_datetime_5' id='label_ff_3_datetime_5'>Preferred Course Start Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Preferred Course Start Date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_5\" id=\"ff_3_datetime_5\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"day\/month\/year\" data-name=\"datetime_5\" tabindex=\"24\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_12\" ><hr><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_13\" ><hr><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_1 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_14\" ><h3>Anything else?<\/h3><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description_1' id='label_ff_3_description_1'>Please specify any wanted specialties, your first aid qualification, medical issues or other things we should now.<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description_1\" name=\"description_1\" id=\"ff_3_description_1\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description_1\" tabindex=\"25\" ><\/textarea><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_15\" ><hr><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_1 fluform-cont-style-1'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_16\" ><h3><strong>Payment Information<\/strong><\/h3>\n<div>The Customer\u2019s reservation will only be definitively recorded upon receipt of the total amount.<\/div>\n<div>\u00a0<\/div>\n<div><label class=\"vfb-desc\">After your reservation has been reviewed we will send you payment instructions via email to your address; <strong><span class=\"ff_dynamic_value\" data-ref=\"email\" data-fallback=\"\"><\/span><\/strong><\/label><\/div>\n<div>\u00a0<\/div>\n<div>Payment Instructions will be sent via email from &#8220;SAWASDEE DIVERS KRABI\u201d.<\/div>\n<div>\u00a0<\/div>\n<div>A PayPal or Stripe Invoice will be included for your payment, there is no need for you to have a Paypal or stripe account (+4% transaction fee).<\/div>\n<div>\u00a0<\/div>\n<div>A bank transfer is also available, but you will be responsible for bank and transfer fees.<\/div>\n<div>\u00a0<\/div>\n<div>Let us know your preference in the &#8220;Anything else?&#8221; section above.<\/div><\/div><div class='ff-el-group accept-terms'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  >Accept payment terms.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_cafe376d8e649b096f03ee4a3d490f61'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" tabindex=\"26\" value=\"I have read and understood the payment information.\"  id='checkbox_5_cafe376d8e649b096f03ee4a3d490f61' aria-label='I have read and understood the payment information.' aria-invalid='false' aria-required=true> <span>I have read and understood the payment information.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_17\" ><h3>Terms &amp; Conditions<\/h3>\n<p><a style=\"color: #ffffff;background-color: #0072ff;font-size: 16px;border-radius: 5px;text-decoration: none;font-weight: normal;font-style: normal;padding: 1rem 1.2rem;border-color: #0072ff\" href=\"https:\/\/th-staging.sawasdee-divers.com\/terms-conditions\/\" target=\"_blank\" rel=\"noopener\"><strong>Read Terms &amp; Conditions<\/strong>\u2197<\/a><\/p><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_18\" ><hr><\/div><div class='ff-form-inline-style' hidden><style>form.fluent_form_3 .ff-btn-submit:not(.ff_btn_no_style) { background-color: var(--fluentform-primary); color: #ffffff; }<\/style><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" tabindex=\"27\"  aria-label=\"Send\">Send<\/button><\/div><\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_3_1 = 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