Scuba Shack - Pre Snorkel From

Please read carefully and fill in all blanks before submitting.

I, hereby affirm that I thoroughly understand that scuba diving, snorkelling and the transportation to and from snorkel or dive sites are inherently dangerous activities. I further understand, acknowledge and assume all hazards of the activity involved in either snorkelling and scuba diving including those hazards occurring during boat travel to and from the site. I confirm I am physically able to dive and or snorkel and have completed the medical questionnaire. I understand that these hazards include, but are not limited to, air expansion injuries, drowning, decompression sickness, slipping or falling while on board or while entering or exiting the boat, being cut or struck by a boat while in the or out of the water, injuries occurring while getting on or off a boat, and other perils of the sea. By signing this release, I certify that I am fully aware of and that I expressly, knowingly and willingly assume these and all other risks of injury or other damage associated with or involved in making such a dive or dives, whether conducted as a recreational dive or part of a diving class, and from my use of all equipment, machinery, air, food provided in connection with such activities. I fully understand and am aware that the boat has limited medical facilities and that in the event of illness or injury, appropriate medical help must be summoned and that treatment will be delayed until I can be transported to a proper medical care.

I understand and agree that Shoal Bay Scuba (Shoal Bay Scuba Karma Charters) Ltd also known as the Scuba Shack, its crew and or owner of the vessel, nor its affiliate or subsidiary corporations, nor any of the owners, officers, employees, agents, or assigns of the above listed individuals and/or entities (hereinafter “Released Parties”) may be held liable or responsible in any way for any occurrence on this dive or snorkel trip, including but not limited to the hazards described above and my use of all equipment, machinery, air, food provided in connection with this trip, which may result in personal injury, property damage, wrongful death or other damage to me or my family, heirs, or personal representatives, regardless of whether such damage or injury occurs as a result of the negligence of any party, including the negligence of the released parties, whether passive or active.

Equipment: I hereby agree to return any equipment in the original condition in which it was provided. Any damages or loss shall make me financially liable for the actual cost of replacement. I agree to the following charges if damaged or lost: fins 60.00 USD, full face mask 90.00 USD, mask 45.00 USD, mask strap 12.00 USD, snorkel 15.00 USD, wet suit 100.00 USD, weight is lost is charged at 20.00 USD per pound. PADI States all dives but end with 500 psi, unless completing a required safety stop, an diver who returns with a scuba tank with less than 300 PSI I will be charge 250.00 USD for us to service and visually inspect the tank prior it being used again. I have been given the opportunity to check all equipment and agreed that it was given in good usable condition. I also confirm I am familiar with the correct use of the equipment and will return in same condition. Any failure to do so will result in a charge applied to the final bill.

Scuba Diving and or Snorkeling are an exciting and demanding activity. To scuba dive or snorkel safely you must not be extremely overweight and or out of condition. These activities can be strenuous under certain conditions and as such you’re respiratory and circulatory systems must be in good health. All body airspaces must be normal and healthy. A person with heart trouble, a cold, congestion, epilepsy, asthma or any severe medical problem, or who is under the influence of alcohol or Drugs should not snorkel or scuba dive. If you are talking prescription medications you should consult your doctor before snorkeling or scuba diving. The purpose of this medical release is to find out if you should be examined by a doctor prior to scuba diving or snorkeling. A positive response does not mean you are unable to snorkel or scuba dive, it just mean that due to the preexisting condition and for your own safety you should seek the consent of your doctor prior to snorkeling or scuba diving.

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