SCUBA SCHOOLS OF AMERICA & SWIM
~ DIVER ~
STUDENT REGISTRATION AND ACTIVITY RELEASE
Date: July 3, 2020
TUITION FEE AND REFUNDS: Your Tuition Fee is refundable up to the start of your class.
NO REFUNDS PRIOR TO THE COMPLETION OF THE PROGRAM
I certify that I do not have, nor do I have a history of the following ailments: Heart Ailments, Sinus, Asthma, Emphysema, Ear or Mastoid Ailments, Epilepsy, Facial Injuries, Tetanus Allergy, Hypertension, Cancer.
*I hereby release and allow Aquatic Outfitters, LLC, dba Scuba Schools of America and/or its representatives and affiliates to use any photographs, film, drawings, or mechanical recordings of myself or my voice that might be made during my participation in any promotional use they may desire.
For and in consideration of permitting the above named to enroll in and participate in diving activities and class instruction of skin and/ or scuba diving by a sanctioned member of SSI, the undersigned hereby voluntarily releases, discharges, waives, and relinquishes any and all actions for personal injury, property damage or wrongful death occurring to him/ herself arising as a result of engaging or receiving instructions in said activity or any activities incidental thereto wherever or however the same may occur and for whatever period said activities or instructions may continue, and the Undersigned does for him/ herself, his/ her heirs, executors, administrators and assigns hereby release, waive, discharge and relinquish any action or cause of action, aforesaid, which may hereafter arise for him/ herself and for his/ her estate, and agrees that under no circumstances will he/ she or his/ her heirs, executors, administrators and assigns prosecute, present any claim for personal injury, property damage or wrongful death against SSI or its member school or any of its officers, agents, servants, associates or employees for any of said cause of action, whether the same shall arise from the negligence of any of said persons, or otherwise.
IT IS THE INTENTION OF THE ABOVE NAMED STUDENT BY HIS INSTRUMENT TO EXEMPT AND RELIEVE Aquatic Outfitters, LLC, SSI, ANDI, SCUBA SCHOOLS OF AMERICA, and SCUBA X TRAVEL, FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE!
Further, the undersigned Has Read and Accepts the Responsibility of the Scuba Schools of America Posted System Guarantee and had been given a copy of the guarantee.
THE UNDERSIGNED ACKNOWLEDGES THAT HE/ SHE HAS READ THE FOREGOING PARAGRAPHS, HAS BEEN FULLY AND COMPLETELY ADVISED OF THE POTENTIAL DANGERS INCIDENTAL TO ENGAGING IN THE ACTIVITY AND INSTRUCTING OF SNORKELING, SKIN AND/ OR SCUBA DIVING, AND IS FULLY AWARE OF THE LEGAL CONSEQUENCES OF SIGNING THE WITHIN INSTRUMENT.