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SCUBA Diving Liability Waiver

I understand that SCUBA Diving is a HAZARDOUS activity, I also understand that scuba diving has inherent and other risks of injury to any part of this users body that reasonable care, caution, instruction, and expertise cannot eliminate. I further understand that injuries are common in ordinary occurrences during these activities. I hereby agree to freely, voluntary and expressly ASSUME and accept ALL risks of any injury to any part of this users body while SCUBA Diving.

I understand that if SCUBA Diving equipment is furnished it forms a part of, or all of a SCUBA Diving/breathing support system and that it is not possible to predict every situation in which the system will or will not properly or sufficiently operate and that its use cannot guarantee this users safety or freedom of injury while scuba diving.

I hereby forever release this dive shop 2407137 Ontario Inc o/a Divers Den from and indemnify it and hold it harmless for any and all responsibility or legal liability for any injuries or damages to any user of any equipment listed on this form whether or not such injuries or damages are caused by the negligence of this dive shop. Agree not to make a claim against or sue this dive shop for any injuries or damages relating to SCUBA Diving and/or the use of this equipment and I will accept full responsibility for those injuries or damages.

I have carefully read this agreement. I am aware that this is a binding contract which provides a comprehensive release of liability. However, it is not intended to assert any claims or defenses that are prohibited by law.

This dive shop, itself, provides NO WARRANTIES expressed or implied and this equipment is accepted AS IS. I have carefully read this agreement and release of liability and fully understand its contents. This document constitutes the final and entire agreement between the dive shop and the undersigned.

I understand how SCUBA Diving equipment works and I have been fully instructed on its proper use. Any questions I have had about this rental SCUBA Diving equipment have been satisfactorily answered. I agree to check this SCUBA Diving equipment before each use and that I will not use this equipment if any parts are worn, damaged, or missing.

The Dive Shop, owners, and crew of the chartered vessels shall not be liable for any loss or injury howsoever caused, whether by reason of fault or negligence of the owners or otherwise.

I understand and agree that if I am renting equipment and it is damaged beyond normal wear and tear or lost I may be subject to a replacement or repair fee.

I Agree

I understand and agree that if it is detrmined by Divers Den that I have peed in my rental wetsuit I will be charged a "pee fee" of $75 for cleaning.

I Agree

September 20, 2018

First Diver's Name

First Name*

Last Name*
First Diver's Date of Birth*
First Diver's Information

Certification Agency *

Certification Level *

Diver Number *
First Diver's Signature*
Second Diver's Name

First Name*

Last Name*
Second Diver's Date of Birth*
Second Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Third Diver's Name

First Name*

Last Name*
Third Diver's Date of Birth*
Third Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Fourth Diver's Name

First Name*

Last Name*
Fourth Diver's Date of Birth*
Fourth Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Fifth Diver's Name

First Name*

Last Name*
Fifth Diver's Date of Birth*
Fifth Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Sixth Diver's Name

First Name*

Last Name*
Sixth Diver's Date of Birth*
Sixth Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Seventh Diver's Name

First Name*

Last Name*
Seventh Diver's Date of Birth*
Seventh Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Eighth Diver's Name

First Name*

Last Name*
Eighth Diver's Date of Birth*
Eighth Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Ninth Diver's Name

First Name*

Last Name*
Ninth Diver's Date of Birth*
Ninth Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Tenth Diver's Name

First Name*

Last Name*
Tenth Diver's Date of Birth*
Tenth Diver's Information

Certification Agency *

Certification Level *

Diver Number *
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Certification Agency *

Certification Level *

Diver Number *
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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