STATEMENT OF RISK AND LIABILITY
Please read carefully and fill in all blanks before signing. This is a statement in which you are informed of the risks of skin and scuba diving. The statement also sets out the circumstances in which you participate in the diving at your own risk. Your signature on this statement is required as proof that you have received and read this statement. It is important that you read the contents of this statement before signing it. If you do not understand anything contained in this statement, then please discuss it with your instructor. If you are a minor, this form must also be signed by a parent or guardian. This Statement of Risks and Liability hereby encompasses and applies to all diving activities in which you choose to participate. These activities and courses may include, but are not limited to, altitude, boat, cavern, AWARE, deep, enriched air, photography/videography, diver propulsion vehicle, drift, dry suit, ice, multilevel, night, peak performance buoyancy, search & recovery, rebreather, underwater naturalist, navigator, wreck, adventure diver, rescue diver and other distinctive specialties (hereinafter “Programmes”).
Skin and scuba diving have inherent risks which may result in serious injury or death. Diving with compressed air involves certain inherent risks, including, but not limited to, decompression sickness, embolism or other hyperbaric/ air expansion injury can occur that require treatment in a recompression chamber. Open water diving trips that are necessary for training and certification may be conducted at a site that is remote, either by time or distance or both, from such a recompression chamber. Skin and scuba diving are physically strenuous activities and you will be exerting yourself during these Programmes. I understand that past or present medical conditions may be contraindicative to my participation in the Programmes. I declare that I am in good mental and physical fitness for diving, and that I am not under the influence of alcohol, nor am I under the influence of any drugs that are contraindicated to diving. If I am taking medication, I declare that I have seen a physician and have approval to dive while under the influence of the medication/drugs. I understand it is my responsibility to inform my instructor of any and all changes to my medical history at any time during my participation in the Programmes and agree to accept responsibility for my failure to do so.
ACCEPTANCE OF RISK
I hereby state and agree this Agreement will be effective for all activities associated with the Programs in which I participate within one year from the date on which I sign this Agreement.
I understand and agree that neither the dive professionals conducting this programme, nor the facility through which this programme is conducted, _________________________________, nor PADI EMEA Ltd., nor PADI Americas, Inc., PADI Worldwide Corp. nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents or assigns accept any responsibility for any death, injury or other loss suffered by me or resulting from my own conduct or any matter or condition under my control that amounts to my own contributory negligence. In the absence of any negligence or other breach of duty by the dive professionals conducting this programme, the facility through which this programme is offered, _________________________________, PADI EMEA Ltd., PADI Americas, Inc., PADI Worlwide Corp. and all parties referred to above, my participation in this diving programme is entirely at my own risk. I acknowledge receipt of this Statement and have read all of the terms before signing this Statement.