To join the Active Divers Association, please provide the following four items:

  1. The PDF form titled "Your Membership Application and Contact Information" and the accompanying "Emergency Contact Information" (page 1)

  2. The PDF acknowledgement of ADA’s Diving Release/Waiver of Liability form (located on page 2). You may electronically sign it by including the phrase, "Electronically signed by <your name>" and your email address on the "Legal Signature" line. If you have previously established a digital signature , clicking in the "Legal Signature" box will bring up your digital signature.

  3. Color scan or color photo of BOTH sides of your permanent certification card. The card must be an open water certification or equivalent, not a specialty rating such as wreck diver, night diver, etc.

  4. Membership dues (see Membership Renewal for options). This application will be processed ONLY when all four of the above items are received.

Please download and fill out the form on your own computer. To do so, click here and save the "ADA Membership Application" form to your computer (remember where you saved it). Open the form up, click on the "Tools" tab,  click on the "Fill & Sign" icon, and fill out all the fields. Alternatively, you can print the form, fill it out by hand, and scan or take a smartphone photo of it. In either case, save the form and email it to ActiveDiversInfo@gmail.com. Don't forget to send a copy of your C-Card too.

If you would prefer to submit a snail-mail version of the Application, Emergency Contact Information, and Diving Release/Waiver of Liability, click on and print the "Membership Application and Diving Waiver/Release of Liability". Send the completed form, a copy (front and back) of your certification card, and your application fee to:

Dr. Dan Baeza
ADA Membership Chairman 
7592 Parkview Way
Coral Springs, FL 33065
Email: ActiveDiversInfo@gmail.com