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THE SCUBA RANCH AND RECREATIONS PARKS, LLC
(formerly known as Clear Springs Scuba Park)


WAIVER, RELEASE, AND INDEMNITY AGREEMENT

for SCUBA Instructors and

 Dive Masters

In consideration of permitting me access to and use of THE SCUBA RANCH AND RECREATION PARKS, LLC, property, lake, floating docks, underwater platforms, open water training facility, equipment, kayaks, paddleboards, and boats and allowing me to participate in scuba/skin/free diving classes or individual scuba/skin/free diving or swimming, kayaking, paddleboarding, or any other water activities or any other land activity from or on the property located in Terrell, Kaufman County, Texas, I hereby voluntarily release, discharge, waive, and relinquish any and all actions or causes of action for personal injury, property damage, or wrongful death occurring to me arising as a result of engaging in or receiving instruction 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.

I RECOGNIZE THAT SCUBA/SKIN/FREE DIVING MAY BE DANGEROUS AND CAN RESULT IN INJURY OR DEATH.  I ALSO RECOGNIZE THE SAME DANGERS IF I CHOOSE TO PATICIPATE IN OTHER FORMS OF RECREATION AND/OR ACTIVITIES IN THE PARK, IE:  KAYAKING, PADDLEBOARDING, SWIMMING, AND OTHER WATER/LAND ACTIVITES, ETC.

I UNDERSTAND THAT THERE IS NEVER A LIFE GUARD ON DUTY AT THE SCUBA RANCH AND RECREATION PARKS, LLC.  

I, for myself, my heirs, executors, administrators, and assigns hereby release, discharge, waive and relinquish any and all actions or causes of action, aforesaid, which may hereafter arise for me and my estate, and agree that under no circumstances will I or my heirs, executors, administrators, and assigns prosecute, present any claim for personal injury, property damage, or wrongful death against its officers, instructors, agents, or employees for any of said causes of action, whether the same shall arise by negligence of any said persons, or otherwise.  It is my intention, by this instrument, to exempt, relieve, indemnify, and save/hold harmless THE SCUBA RANCH AND RECREATION PARKS, LLC, their facilities, or any of its officers, instructors, agents, or employees from liability for personal injury, property damage, or wrongful death arising from the use of the aforementioned facilities, both on land and in the water.

I have been informed that THE SCUBA RANCH AND RECREATION PARKS, LLC, is remote both by time and distance from a decompression chamber.  I hereby agree that I will not perform any dives at THE SCUBA RANCH AND RECREATION PARKS, LLC, that require decompression (No Decompression Dives Only).  I understand the dangers of breath-holding while scuba diving and agree never to hold my breath while ascending.  I also acknowledge and understand there are underwater overhead environments that require advanced diving skills and I agree not to exceed my personal diving limitations and/or training.  I will not attempt ANY dive that I do not feel completely comfortable and safe with, nor will I complete any dive I am not trained for.

I acknowledge that I have read and fully understand the foregoing paragraphs and have been fully and completely advised of the potential dangers incidental to engaging in the activity and instructions of scuba/skin/free diving, and/or the use of THE SCUBA RANCH AND RECREATION PARKS , LLC, facilities, or boats, kayaks, paddleboards, etc., and I am fully aware of the legal consequences of signing this instrument.  

THE SCUBA RANCH AND RECREATION PARKS, LLC does NOT recommend solo diving, and by signing this I recognize that if I choose to solo dive I am taking on an added level of risk.  Also, solo diving without proper certification is grounds for removal from the park.  I acknowledge that I have read and fully understand the added dangers of this practice and release THE SCUBA RANCH AND RECREATION PARKS , LLC, their facilities, or any of its officers, instructors, agents, or employees from liability for personal injury, property damage, or death arising from my choice to do so. 

I understand that only certified scuba instructors or dive masters are authorized to teach scuba lessons.  Under no circumstances will I attempt to teach scuba diving lessons to anyone on this property unless I am a certified scuba instructor or dive master, and have shown my credentials as such.  I also understand that I am responsible for the vetting of instruction I recevie, and my instruction in scuba/skin/free diving it is not the responsibliity of THE SCUBA RANCH AND RECREATION PARKS, LLC.    

I understand that I will be required to execute subsequent waivers, releases, and indemnity agreements on an annual basis.

Photography Consent:

I hereby grant THE SCUBA RANCH AND RECREATION PARKS , LLC to  the absolute and irrevocable right and unrestricted permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any photos, video recordings, audiotapes, digital images, and the like, taken or made during the duration of my visits to said park. I agree that the THE SCUBA RANCH AND RECREATION PARKS, LLC has complete ownership of such material and can use said material for any purpose consistent with the parks services. These uses include, but are not limited to, videos, publications, advertisements, news releases, web sites, social media, and any promotional or educational materials in any medium. I acknowledge that I will not receive any compensation for the use of such images, video, likeness, etc. I hereby release and discharge THE SCUBA RANCH AND RECREATION PARKS , LLC , and its agents, representatives and assignees from any and all claims and demands arising out of or in connection with the use of my name, likeness, image, voice and/or appearance, including any and all claims for invasion of privacy, right of publicity, misappropriation or misuse of image, and/or defamation. I represent that I am over the age of eighteen (18) years, or the parent/guardian of a child under the age of eighteen years old, and that I have read the foregoing and fully understand its contents. This release/waiver shall be binding upon me, my heirs, legal representatives, and assigns. This agreement is being made and entered into under the laws of the State of Texas and shall be governed and interpreted in accordance with the laws of said state. This agreement embodies the entire agreement of the parties (subject and photographer). No modification of this agreement shall be of any effect unless it is made in writing and signed by all of the parties to the agreement.

Today's Date: June 24, 2019

First Instructor or Dive Master Name

First Name*

Last Name*

Phone*
First Instructor or Dive Master Date of Birth*
First Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
First Instructor or Dive Master Signature*
Second Instructor or Dive Master Name

First Name*

Last Name*
Second Instructor or Dive Master Date of Birth*
Second Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Third Instructor or Dive Master Name

First Name*

Last Name*
Third Instructor or Dive Master Date of Birth*
Third Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Fourth Instructor or Dive Master Name

First Name*

Last Name*
Fourth Instructor or Dive Master Date of Birth*
Fourth Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Fifth Instructor or Dive Master Name

First Name*

Last Name*
Fifth Instructor or Dive Master Date of Birth*
Fifth Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Sixth Instructor or Dive Master Name

First Name*

Last Name*
Sixth Instructor or Dive Master Date of Birth*
Sixth Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Seventh Instructor or Dive Master Name

First Name*

Last Name*
Seventh Instructor or Dive Master Date of Birth*
Seventh Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Eighth Instructor or Dive Master Name

First Name*

Last Name*
Eighth Instructor or Dive Master Date of Birth*
Eighth Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Ninth Instructor or Dive Master Name

First Name*

Last Name*
Ninth Instructor or Dive Master Date of Birth*
Ninth Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Tenth Instructor or Dive Master Name

First Name*

Last Name*
Tenth Instructor or Dive Master Date of Birth*
Tenth Instructor or Dive Master Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
Instructor or Dive Master 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:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive news by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Please select which applies: *
Instructor
Dive Master

Certification/Card Number *
Select certifying organization: *
NAUI
PADI
SSI
Other organization (please specify below)

If "other", name certifying organization above
Please select your school/organization from the list below: (if NOT with an school/organization, please choose the No School/Independent option)*

If "other" selected, please type name of school/organization above

If with Police/Fire/Rescue Department, please specify which dept above
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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