Diving form

1. Basic information


2. Your diving experience


3. Diving insurance/EC


4. Reservation detail


Release of Liability/Assumption of Risk/Non-agency Acknowledgement Form

CERTIFIED DIVERS

Please read carefully and fill in all blanks before signing.

Non-Agency Disclosure and Acknowledgment Agreement

I,    ,understand and agree that PADI Members (“Members”), including OK Divers Resort & Spa and/or OK Divers / Dipe Boot Too 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 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. I further understand and agree on behalf of myself, my heirs and my estate that in the event of an injury or death during this activity, neither I nor my estate shall seek to hold PADI liable for the actions, inactions or negligence of OK Divers Resort & Spa and/or OK Divers / Dipe Boot Too and/or the instructors and divemasters associated with the activity.

Liability Release and Assumption of Risk Agreement

I,       , hereby affirm that I am a certified scuba diver trained in safe dive practices and know that skin diving and scuba diving (hereinafter “Diving”) have inherent risks which may result in serious injury or death.

I understand that scuba diving with compressed air involves certain inherent risks; including but not limited to decompression sickness, embolism or other hyperbaric/air expansion injury that require treatment in a recompression chamber. If I am scuba diving with oxygen enriched air (“Enriched Air”) or other gas blends including oxygen, I also understand that it involves inherent risks of oxygen toxicity and/or improper mixtures of breathing gas. I further understand that the Diving activities will be conducted at a site that is remote, either by time or distance or both, from such a recompression chamber. I still choose to proceed with these activities in spite of the absence of a recompression chamber in proximity to the dive site(s).

I understand and agree that neither OK Divers Resort & Spa and/or OK Divers / Dipe Boot Too, nor the dive professional(s) who may be present at the dive site,  nor PADI Americas, Inc., nor its affiliate and subsidiary corporations, nor any of their respective employees, officers, agents, contractors and assigns (hereinafter “Released Parties”) may be held liable or responsible in any way for any injury, death or other damages to me, my family, estate, heirs or assigns that may occur during Diving activities as a result of my participation in Diving or as a result of the negligence of any party, including the Released Parties, whether passive or active.

I affirm I am in good mental and physical fitness for Diving. I further state that I am not under the influence of alcohol or any drugs that are contraindicated to Diving. If I am taking mediation, I affirm that I have seen a physician and have approval to dive while under the influence of the medication/drugs. I understand that Diving is a physically strenuous activity and that I will be exerting myself during this activity and that if I am injured as a result of heart attack, panic, hyperventilation, drowning or any other cause, that I expressly assume the risk of said injuries and that I will not hold the Released Parties responsible for the same.

I am aware that safe dive practices suggest diving with a buddy unless trained as a self-reliant diver. Accordingly, it is my responsibility to plan my dive allowing for my diving experience and limitations, and the prevailing water conditions and environment. I will not hold the Released Parties responsible for my failure to safely plan my dive, dive my plan, and follow the instructions and dive briefing of the dive professional(s). I affirm it is my responsibility to inspect all of my equipment prior to the Excursion and that I should not dive if my equipment is not functioning properly. I will not hold the Released Parties responsible for my failure to inspect my equipment prior to diving or if I choose to dive with equipment that may not be functioning properly.

I further state that I am of lawful age and legally competent to sign this liability release, or that I have acquired the written consent of my parent or guardian. I understand the terms herein are contractual and not a mere recital, and that I have signed this Agreement of my own free act and with the knowledge that I hereby agree to waive my legal rights. I further agree that if any provision of this Agreement is found to be unenforceable or invalid, that provision shall be severed from this Agreement. The remainder of this Agreement will then be construed as though the unenforceable provision had never been contained herein.

I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns, or beneficiaries may have to sue the Released Parties resulting from my death. I further represent that I have the authority to do so and that my heirs, assigns, and beneficiaries will be estopped from claiming otherwise because of my representations to the Released Parties.

PRODUCT NO. 10086 (Rev. 12/12) Version 2.01 - page 1 of 2 -   © PADI 2012

I,      BY THIS INSTRUMENT, AGREE TO EXEMPT AND RELEASE OK DIVERS RESORT & SPA and/or OK DIVERS / DIPE BOOT TOO, THE DIVE PROFESSIONAL(S), PADI AMERICAS, INC., AND ALL RELATED ENTITIES AS DEFINED ABOVE FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH HOWEVER CAUSED, INCLUDING BUT NOT LIMITED TO THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE.

I ALSO AGREE ON ANY FEES IMPOSED BY THE LOOSE OR BREAKAGE OF ANY EQUIPMENT OR THE CANCELATION OF ANY DIVE TRIP. THE FEE FOR ANY CANCELATION ARE SPECIFIED IN THE DIVING TERMS & CONDITIONS ON OK DIVERS WEB PAGE AND HAVE READ THEM PRIOR MY RESERVATION.

OK DIVERS RESORT & SPA AND ITS REPRESENTATIVES RESERVES THE RIGHT TO MODIFY OR CANCEL DIVING ARRANGEMENTS DUE TO UNFAVOURABLE, RISKY, DENGEROUS WEATHER CONDITIONS, SAFETY AND SUITABILITY. THIS CHANGE OF DESTINATIONS OR CANCELATION OF A DIVE IS NOT CONSIDERED SATISFACTORY JUSTIFICATION FOR A PRICE REFUND.

I HAVE FULLY INFORMED MYSELF AND MY HEIRS OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKNOWLDGEMENT AGREEMENT AND LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT BY READING BOTH BEFORE SIGNING BELOW ON BEHALF OF MYSELF AND MY HEIRS.

Participant Signature

Date (Day/Month/Year)

Signature of Parent of Guardian (where applicable)

 Date (Day/Month/Year)

Statement of Risk and Liability/Non-agency - Acknowledgment Form

Discover Snorkelling and Skin Diving (EU Version)

Please read carefully and fill in all blanks before signing.

Non-Agency Disclosure and Acknowledgment Agreement

I     understand and agree that PADI Members (“Members”), including OK Divers Resort & Spa / OK Divers 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 are informed of the risks of snorkelling and skin diving. The statement also sets out the circumstances in which you participate in the snorkelling/skin diving programme 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

Snorkelling and skin diving have inherent risks which may result in serious injury or death.

Snorkelling and skin diving are physically strenuous activities and you will be exerting yourself during this programme. You must advise truthfully and fully inform the dive professionals and the facility through which this programme is offered of your medical history.

Past or present medical conditions may be contraindicative to your participation in the programme. Cold or congestion, or an ear infection, a history of seizures, dizziness or fainting; a history of heart condition (e.g.: cardiovascular disease, angina, heart attack), a history or respiratory problems such as emphysema or tuberculosis or taking medication that carries a warning about any impairment of your physical or mental abilities, are contradictive to your participation in this programme.

Acceptance of Risk

I    understand and agree that neither my Guide(s)/Instructor(s)/staff of OK Divers Resort & Spa / OK Divers, nor the facility through which this programme is conducted, OK Divers Resort & Spa / OK Divers, 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 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 Guide(s)/Instructor(s) conducting this programme, the facility through which this programme is offered, OK Divers Resort & Spa / OK Divers, PADI EMEA Ltd., PADI Americas, Inc., PADI Worldwide Corp. and all parties referred to above, my participation in this snorkeling or skin diving programme is entirely at my own risk.

I ALSO AGREE ON ANY FEES IMPOSED BY THE LOOSE OR BREAKAGE OF ANY EQUIPMENT OR THE CANCELATION OF ANY SNORKELING TRIP. THE FEE FOR ANY CANCELATION 24 HOURS PRIOR TO THE AGREED TRIP DAY WILL BE 100% OF THE TRIP COST, ANYTHING BEFORE WILL BE DEALT WITH ON A CASE BY CASE SCENARIO AND THE FINAL DECISION WILL BE MADE BY MANAGEMENT.

OK  DIVERS  RESORT  &  SPA   AND  ITS   REPRESENTATIVES   RESERVES   THE  RIGHT   TO  MODIFY   OR  CANCEL DIVING ARRANGEMENTS  DUE  TO  UNFAVOURABLE,  RISKY,  DENGEROUS   WEATHER  CONDITIONS,  SAFETY  AND  SUITABILITY. THIS  CHANGE  OF  DESTINATIONS  OR  CANCELATION  OF  A   SNORKELING  TRIP  IS  NOT  CONSIDERED  SATISFACTORY JUSTIFICATION FOR A PRICE REFUND.

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.

Participant Signature

email address

Date (Day/Month/Year)

Signature of Parent/Guardian (where applicable)
Date (Day/Month/Year)

PRODUCT NUMBER. 10106  (Rev. 02/14)  Version 1.0
© PADI 2014 

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