Check-in > Certified Diver Experience Programs

1. ENTER YOUR PERSONAL DATA

Name and Surname^*

Date of Birth^*

Gender

Country of birth^*

Home Address^*

Postal code^*

City^*

Country^*

Booking Date^*

Telephone^*

Email^*

Hotel

Room number

Check In

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Dive License

Number of dive license

Your last dive

Number of dives

Contact person and phone number to contact in case of emergency

Medical Information
To dive safely, you don't have to be excessively overweight or out of shape. Diving can be tiring under certain conditions. Your circulatory and respiratory systems must be healthy. All air cavities in the body must be normal and healthy. A person with a heart problem, a cold or an ongoing congestion, epilepsy, asthma, a serious medical problem or who is under the influence of alcohol or drugs should not dive. If you are taking medicines, have asthma, heart problems, other chronic diseases, consult your doctor and instructor before participating in this program and maintain an acceptable physical shape. If there is important information for the Sea Spirit Diving Resort, please contact one of our diving instructors.

2.ASKS To be admitted as a member of the sports club "Sea Spirit SSD ARL" for scuba diving, scuba courses, snorkeling P.IVA 03402030831 - Sede in Via Recanati 26, Giardini-Naxos (ME)

DECLARES to be aware that the structure within which it performs sporting practice is constituted legally in the form of non-profit sports club with limited liability and is recognized by CONI.

DECLARES also to have accepted the insurance policy for personal injuries provided by the affiliation of the company to protect its practitioners in the performance of institutional activities. The affiliated then declares to relieve the company itself of any compensation, even partial, not recognized or partially reimbursed by the insurance company concerned, for accidents and injuries that may occur before, during and after the activities. Declares to have understood the information on the use of personal data, pursuant to Article 13 of Legislative Decree No. 196 of June 30, 2003, containing the new code regarding the protection of personal data. It allows their treatment to the extent necessary for the pursuit of statutory and institutional purposes. Pursuant to article 13 of the
legislative decree n ° 196/2003, containing provisions on the new code regarding the protection of personal data, declares to be aware that the data provided will be processed in compliance with the aforementioned law and the confidentiality obligations, which will be treated only for institutional activities, therefore, strictly connected to the statutory activities and that the treatment will take place through the use of electronic or paper support, suitable to guarantee the security and confidentiality of the same. In relation to the aforementioned treatments, which may exercise the rights referred to in art. 7 of the d. lgs. N ° 196/2003 (cancellation, modification, opposition to treatment).

I hereby assign all rights to the film, digital media, photography, sound recording and printed quotes thereof made of me during my participation in the Sea Spirit daily program by representatives of Sea Spirit SSD ARL, or their designee. I hereby authorize the reproduction, copyright, exhibition, and/or distribution of said materials worldwide without limitation for any purpose. Sea Spirit SSD ARL, or their designee, may use above mentioned materials for purposes of advertising, publicity and sales promotion. No money shall be due me for such use, now or in the future

I declare that I have read and ACCEPT the registration to the Amateur Sports Club "Sea Spirit SSD ARL"^*

3.CERTIFIED DIVER EXPERIENCE PROGRAMS Statement of Risk and Liability/ Non-agency Acknowledgment Form

Non-Agency Disclosure and Acknowledgment Agreement

I understand and agree that PADI Members ("Members"), including Sea Spirit S.S.D. A R.L. and/or any individual PADI Instructors and Divemasters associated with the program in which I am participating, are licensed to use various PADI Trademarks and to conduct PADI training, but are not agents, employees or franchisees of PADI EMEA Ltd., PADI Americas, Inc., or its parent, subsidiary and affiliated corporations ("PADI"). I further understand that Member business activities are independent, and are neither owned nor operated by PADI, and that while PADI establishes the standards for PADI diver training programs, it is not responsible for, nor does it have the right to control, the operation of the Members' business activities and the day-to-day conduct of PADI programs and supervision of divers by the Members or their associated staff.

Statement of Risk and Liability

This is a statement in which you, the certified diver, are informed of the risks of skin and scuba diving. The statement also sets out the circumstances in which you participate in the diving experience 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.

Warning

Skin and scuba diving have inherent risks which may result in serious injury or death.

Diving with compressed air involves certain inherent risks; decompression sickness, embolism or other hyperbaric injury can occur that require treatment in a recompression chamber. Open water diving trips that may be necessary for this experience 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 this diving experience. Past or present medical conditions may be contraindicative to your participation in this experience. You must be in good mental and physical fitness for diving, and not under the influence of alcohol, nor any drugs that are contraindicatory to diving. If you are taking medications, that you have seen a physician and have approval to dive whilst taking these. You need to inspect all of your equipment prior to this experience and notify the dive professionals and the facility through which this experience is offered if any of your equipment is not working properly.

Acceptance of Risk

I understand and agree that neither the dive professionals conducting this program,__________________________, nor the facility through which this program is conducted, Sea Spirit S.S.D. A R.L., nor PADI EMEA Ltd., nor PADI Americas, Inc. nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns accept any responsibility for any death, injury or other loss suffered by me to the extent that it result 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 program,____________________________, the facility through which this program is offered, Sea Spirit S.S.D. A R.L., PADI EMEA Ltd., PADI Americas, Inc. and all parties referred to above, my participation in this diving program is entirely at my own risk.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKNOWLEDGMENT AGREEMENT AND STATEMENT OF RISK AND LIABILITY BY READING BOTH BEFORE SIGNING THESE STATEMENTS.

Do you have a diving accident insurance??
NoYes
Policy No.