I am a Certified SCUBA Diver and I plan to dive at LAKE PHOENIX in Rawlings, VA for the ScubaJam Virginia event.
I, hereby affirm that I am cognizant of all of the inherent dangers of skin and scuba diving, and of the basic rules for underwater activities.
I understand and agree that the purpose of my diving activities are strictly recreational, and that it is not the function of the staff of LAKE PHOENIX or ScubaJam Virginia or any of the diving leaders employed by LAKE PHOENIX or volunteers and staff working with ScubaJam Virginia, to serve as the guardian(s) of my safety.
I agree to furnish my own equipment and be responsible for its good operating condition, regardless of where I obtain it. I further agree that prior to each dive I will check my own equipment and my buddy's equipment to ensure proper function, completeness and familiarity, and do not expect my equipment to be inspected by the staff of LAKE PHOENIX.
I understand my diving leader(s) or LAKE PHOENIX staff or ScubaJam Virginia staff and volunteers may provide advice or assistance to me, and I agree to hold harmless LAKE PHOENIX or any of its agents, staff, or leader(s) for any of their actions in attempting to be of assistance to me. I do not expect LAKE PHOENIX or ScubaJam Virginia or their agents to supervise or control my diving activities in any way. BY SIGNING THIS DOCUMENT, I ASSUME ALL RESPONSIBILITY FOR MY ACTIONS, PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH, even if caused by the negligence of LAKE PHOENIX staff or agents or ScubaJam Virginia or their Agents.
understand that skin and scuba diving are physically strenuous activities, and
that I can exert myself by participating in these activities. IF I AM
INJURED IN ANY WAY FROM A HEART ATTACK, PANIC, HYPERVENTILATION OR DROWNING, I
EXPRESSLY ASSUME ALL RISK OF THESE INJURIES, AND IN DOING SO, I EXEMPT AND
RELEASE LAKE PHOENIX AND SCUBAJAM VIRGINIA AND ANY OF THEIR STAFF OR AGENTS,
FROM ALL LIABILITY OR RESPONSIBILITY RESULTING FROM MY PARTICIPATION IN SKIN
AND SCUBA DIVING.
I am aware that LAKE PHOENIX is considered to be a remote diving location, and as a result, I further understand it can take EMERGENCY MEDICAL SERVICES 25-40 minutes to respond when called. However, it is my decision to skin and scuba dive at LAKE PHOENIX knowing these facts and limitations.
I have read, understand and agree to abide by the
RULES AND POLICIES LAKE PHOENIX found on Lake Phoenix's
website, the STANDARD SCUBA DIVING PRACTICES during my recreational diving
activities and have watched the INFOFRMATIONALand POLICY VIDEO
and additionally such
rules and polices as may be promulgated by ScubaJam Virginia.
I understand and agree that I am participating in these recreational diving activities voluntarily, and I agree to be completely responsible for my own actions. I understand there are living creatures which inhabit the lake such as fish, turtles, and an endangered species of the northern water snake (no fangs and non-poisonous). I have been warned of the danger of fish and animal feeding or harassment because these creatures can bite.
Vehicle operators are responsible for ensuring all individuals regardless of age and activity at Lake Phoenix have completed their waiver, will watch the Lake Phoenix informational video and abide by all policies therein and sign in daily.
consent and agree that any photos, videos or likeness taken or captured by Lake
Phoenix staff, their equipment or their agents can be used as Lake Phoenix
management or staff requires. This
includes, but is not limited to, website, flyers, posters, news alerts and
on-line media. I understand that Lake
Phoenix is the legal copyright owner of any said photos, videos or likenesses
and or reproductions of the same.
I hereby declare that I am of legal age and am competent to sign this waiver and release agreement, or that my parent or guardian will sign this document on my behalf if I am a minor.