Join P.D.R.A.
Please fill out this form completely. Our Executive Secretary, Mac Robertson, will forward the information you provide to the PDRA club nearest you. A club representative will then contact you.
First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip:
Daytime Phone Number:
Evening Phone Number:
Email:
Current Certification
Level:
Diving Specialties: (Use Control Key to select more than one)
Club Interested In:
Number of diving family members:
Comments or Questions:

Piedmont Diving & Rescue Association
PDRA@triad.rr.com