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LIABILITY RELEASE & EXPRESS ASSUMPTION OF RISK

I HEREBY DECLARE THAT I AM A CERTIFIED SCUBA DIVER, TRAINED IN SAFE DIVING PRACTICES,or A SCUBA STUDENT IN TRAINING AND AM AWARE OF THE INHERENT HAZARDS OF SKIN AND SCUBA DIVING.

I understand and agree that neither Florida Keys Spearfishing Company, LLC dba Islamorada Dive Center and Scuba Town; Tavernier Dive Center, LLC dba Florida Keys Dive Center; nor the dive supervision staff; nor International PADI, Inc., nor Islamorada Resort Collection which is the collective dba for La Siesta Resort LLC, Amara Cay Resort LLC, Pelican Cove Resort, LLC, PC Inn Resort, LLC); nor Davidson Hotel Company, LLC dba Davidson Hospitality Group as the manager of the Islamorada Resort Collection, nor any of their respective employees, officers, agents or assigns (hereinafter referred to as “Released Parties”), may be held liable or responsible in any way for any injury, death or other damages to me or my family, heirs or assigns that may occur as a result of my participation in this activity, or as a result of product liability or the negligence of any party, including the Released Parties, whether passive or active.


I understand that diving with compressed air involves certain inherent risks, including but not limited to, air expansion injuries, decompression sickness, embolism and drowning. Hyperbaric injuries can occur that require treatment in a recompression chamber. I further understand that this activity may be conducted at a site that is remote, either by time or distance or both, from such a recompression chamber. I still choose to proceed with such activity in spite of the possible absence of a recompression chamber in proximity to the dive site.


I declare that I am in good mental and physical fitness for diving, and that I am not under the influence of alcohol, nor am I under the influence of any drugs that are contra-indicatory to diving. If I am taking medication, I declare that I have seen a physician and have approval to dive while under the influence of the medication / drugs. 


I understand that skin and scuba diving are physically strenuous activities and that I will be exerting myself during this activity and that if I am injured as a result of heart attack, panic, hyperventilation, etc., that I assume the risk of said injuries and that I will not hold the Released Parties responsible for the same. 


I will inspect all of my equipment prior to the activity. I will not hold the Released Parties responsible for my failure to inspect my equipment prior to diving. 


In consideration of being allowed to participate in this activity, I hereby personally assume all risks in connection with the dive(s) for any harm, injury or damage that may befall me while I am a participant, including all risks connected therewith, whether foreseen or unforeseen. 


I further save and hold harmless said activity and Released Parties from any claim or lawsuit for personal injury, property damage, or wrongful death, by me, my family, estate, heirs, or assigns, arising out of my participation in this activity, including both claims arising during the activity or after I complete the activity. 


I further declare that I am of lawful age and legally competent to sign this liability release, or that I have acquired the written consent of my parent or guardian. 


I understand that the terms herein are contractual and not a mere recital, that this instrument is a legally binding document, and that I have signed this document of my own free act. 


I understand that this Liability Release and Express Assumption of Risk is valid for one (1) year from the date of the signed Release. 


I, BY THIS INSTRUMENT DO HEREBY EXEMPT AND RELEASE THE RELEASED PARTIES AS DEFINED ABOVE FROM ANY AND ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH, HOWEVER CAUSED, INCLUDING BUT NOT LIMITED TO PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE.

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS LIABILITY RELEASE AND ASSUMPTION OF RISK BY READING IT BEFORE I SIGNED IT ON BEHALF OF MYSELF AND MY HEIRS.

Today's Date: September 16, 2025


First Diver's Name
First Name*
Middle Name
Last Name*
Phone*
First Diver's Date of Birth*
Date of Birth
First Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
First Diver's Signature*
Second Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Second Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Third Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Third Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Fourth Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Fourth Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Fifth Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Fifth Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Sixth Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Sixth Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Seventh Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Seventh Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Eighth Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Eighth Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Ninth Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Ninth Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Tenth Diver's Name
First Name*
Middle Name
Last Name*
Diver's Date of Birth*
Date of Birth
Tenth Diver's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
Diver'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:*
Parent or Guardian's Email Address
Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact
First Name*
Last 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.


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 Date of Birth*
Date of Birth
Parent or Guardian's Information
Have you been diving in the past 2 years?*
Yes
No
I am a Student
Date of Last Dive: If you are a student please select todays date. *
Certifying Agency:*
Certification Number: If you are a student, please type student. *
Certification Date: If you are a student please select todays date. *
Certification Level*
Total # of Lifetime Dives: *
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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