I am signing this waiver on behalf of: Myself, a legal adult A minor, of which I am a legal guardian
If signing on behalf of a minor:
Minor First Name:
Minor Last Name:
First Name:
Last Name:
Phone Number:
Emergency Contact:
Name:
Phone Number:
Relationship:
I,
Further, I understand that diving with compressed air, oxygen enriched air (Nitrox), and trimix supplied by standard open circuit scuba or with semi-closed or closed circuit rebreathers involves certain inherent risks including decompression sickness, embolism, oxygen toxicity, inert gas narcosis, hypoxia, hypercapnia, marine life injuries or other barotraumas or hyperbaric injuries. Such injuries can occur that require treatment in a recompression chamber or medical facility. I further understand that dive activities can be at remote sites, and isolated by time and distance, from such a recompression chamber or medical facility. I still choose to proceed with such dives in spite of the absence of a recompression chamber in proximity to the dive site.
I understand and agree that neither the instructor/guide nor any of the respective employees, officers, agents or assigns of Dive Addicts Inc., (hereinafter referred to as “Released Parties”) may be held liable or responsible in any way for any injury, death, or damages to me or my family, heirs, or assigns that may occur as a result of y participation in the diving activity or as a result of the unforeseen.
In consideration of being allowed to participate in this activity I hereby personally assume all ricks in connection with said trip, for any harm, I injury, or damage that may befall me while I am a diving participant including all ricks connected therewith, whether foreseen or unforeseen.
I further agree to save, defend, indemnify, and hold harmless said Released Parties from any claim or lawsuit by me, anyone purporting to act on my behalf, my family, estate, heirs or assigns, arising directly or indirectly out of my participation and diving activities including claims arising during this activity even if such claims may be groundless, false or fraudulent.
I also understand that diving activities are physically strenuous and that I will be exerting myself during this diving trip and that if I am injured as a result of heart attack, panic, hyperventilation, oxygen toxicity, inert gas narcosis, drowning, etc. That I expressly assume the rick of said I injuries and that I will not hold the above listed individuals or companies responsible for the same, and I agree to defend indemnify, and hold harmless said Released Parties for any such injuries incurred by me.
I understand that these activities may place me deeper than I am able to safely execute a free ascent (without breathing gas) from.
I understand that I may be required to furnish some of my own equipment and that I am responsible for its operating condition and maintenance.
I understand that I may be supplied with certain items of scuba equipment and that I am responsible for reviewing its proper function and operating condition prior to using it.
I further state that I am of lawful age and legally competent to sign this liability release, and authorized to sign this waiver on my behalf or on the behalf of the minor represented above.
I further state that I am already a qualified and certified scuba diver from the following training agencies:
I understand that the terms herein are contractual and not a mere recital, and that I have signed this document of my own free act. Further that I understand and agree that, in the event that one or more of the provisions of this agreement, for any reason, is half by a court of competent jurisdiction to be invalid or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provision hereof, and this agreement shall be construed as if such invalid, illegal or unenforceable provision or provisions had never been contained herein.
It is the intention of
