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Indy Dive Center
4505 US24
Logansport, IN 46947

317-210-2822


SCUBA DIVER WAIVER OF CLAIM AND RIGHT TO SUE, EXPRESS ASSUMPTION OF THE RISK, RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT. PLEASE BE AWARE THAT BY SIGNING THIS DOCUMENT, YOU ARE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. THIS IS A RELEASE OF YOUR RIGHTS TO SUE INDY DIVE CENTER LLC. , OR THEIR EMPLOYEES, AGENTS, AND ASSIGNS (HEREINAFTER THE “RELEASEES’) FOR PERSONAL INJURIES OR WRONGFUL DEATH OR PROPERTY DAMAGE, ANTICIPATED OR UNANTICIPATED, SUSTAINED BY YOUR ENTRANCE AND PARTICIPATION IN ANY ACTIVITIES ON OR ABOUT THE PREMISES OFTHE RELEASEES INCLUDING PARTICIPATION IN THE INHERENT RISKS ASSOCIATED WITH SCUBA DIVING AND/OR SNORKELING AND/OR SWIMMING AND/OR OTHER ACTIVITIES OR AS A RESULT OF ANY NEGLIGENCE OF THE RELEASEES DURING YOUR SCUBA DIVING AND/OR SNORKELING AND/OR SWIMMING AND/OR OTHER ACTIVITIES AT INDY DIVE CENTER LLC.

I acknowledge that I am a certified scuba diver or under the direction of a certified instructor trained in safe diving practices. 

I do hereby affirm and acknowledge the inherent hazards and risks associated with scuba diving and/or snorkeling and/or swimming. 

I fully understand that these risks can lead to severe injury and even death. In consideration of permitting me to participate in swimming, snorkeling, scuba diving and/or any other activities conducted by the facility of Indy Dive Center LLC. ; I, for myself, my personal representatives, heirs, executors, administrators, assigns, or next of kin, do hereby acknowledge that scuba diving and/or snorkeling and/or swimming and/or zip line activities are potentially dangerous activities and involve the risk of serious injury and/or death and/or property damage, and hereby release, waive, discharge, and agree not to sue the Releasees for personal injury, property damage, or wrongful death occurring to me which arises out of or is related to participation in scuba diving and/or snorkeling and/or swimming and/or any other activities that may occur on or about the premises of the Releasees, whether caused by the negligence of the Releasees, or otherwise. 

I, hereby expressly assume full responsibility for any risk of Bodily injury, wrongful death or property damage arising out of, or related to, participation in scuba diving and/or snorkeling and/or swimming and/or any other activities on or about the premises of the Releasees, whether foreseen or unforeseen, and whether caused by the negligence of the Releasees, or otherwise. I expressly agree to indemnify and save and hold harmless the Releasees from any loss, liability, damage or cost that may occur which arises out of scuba diving and/or snorkeling and/or swimming and/or any other activities on or about the premises of the Releasees, whether caused by the negligence of the Releasees, or otherwise. 

I fully understand that diving with compressed air involves certain risks, and injuries can occur which require treatment in a recompression chamber. 

I fully understand that Indy Dive Center LLC.’s facility is a remote site, either by time or distance or both, from a recompression chamber, and I nevertheless expressly assume the inherent hazards and risks associated with scuba diving and/or snorkeling and/or swimming in such a remote site. I hereby personally assume all risks and hazards in connection with said activities for any personal injury, wrongful death, or property damage that may befall me as a result of my participation in these activities at Indy Dive Center LLC. , whether foreseen or unforeseen, I wish to proceed with these activities despite the absence of a recompression chamber in proximity to the Indy Dive Center LLC. facility. 

I hereby acknowledge that injuries received may be compounded or increased by negligent rescue operations or procedures of the Releases’ and agree that this Waiver of Claim and Right to Sue, Express Assumption of the Risk, Release of Liability, and Indemnity Agreement extends to all acts of negligence by the Releases’, including negligent rescue operations. 

In executing this document, am not relying upon any oral or written representations or statements made by the Releasees other than what is set forth in this agreement. If any other provision of this agreement is found to be unenforceable or invalid, that provision shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable provision had never been contained in this document. I hereby agree that this exculpatory agreement shall be effective for the date of this document. 

I hereby declare that I have read this contractual document entitled Waiver of Claim and Right to Sue, Express Assumption of the Risk, Release of Liability, and Indemnity Agreement and fully understand that I have given up substantial rights by signing it. 

I am aware of its legal consequences, and have signed it freely and voluntarily without any inducement, assurance, or guarantee having been made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. I hereby declare that I am of legal age and competent to sign this agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my guardian or parent is in complete understanding and concurrence with this agreement. 

Today's date: April 24, 2024



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*

As parent or guardian, I am signing this document on behalf of my minor child and agree to be specifically bound to all the terms and conditions of this agreement. I have read the agreement, fully understand the terms herein, understand that I have given up substantial rights by signing it, am aware of its legal consequences, and have signed this document freely and voluntarily without any inducement, assurance, or guarantee having been made to me. I intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law and further agree to indemnify and save and hold harmless the Releasees from any loss, liability, damages, or cost that may occur which arises out of my minor child’s scuba diving and/or snorkeling and/or swimming and/or any other activities on or about the premises of the Releasees, whether caused by the negligence of the Releasees, or otherwise. 



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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