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BOAT Liability Release

Please be aware that you will be required to upload a copy of your diving certification card upon completion of this liability release.


YOU STILL NEED TO CHECK IN AT THE SHOP ON DAY 1 OF YOUR TRIP






I UNDERSTAND THE PURPOSE OF SIGNING THIS DOCUMENT IS TO EXEMPT AND RELEASE HORIZON DIVER ADVENTURES INC. AND HORIZON DIVERS (HEREAFTER CALLED HORIZON) AND CHEECA VIEW, PISCES, LUNA BAY, OR PIRATES LIFE (HEREAFTER CALLED VESSEL), ITS EMPLOYEES, AGENTS, AND DIVE BOATS, WHETHER OWNED, OPERATED, LEASED OR CHARTERED AND TO HOLD THESE ENTITIES (THE “RELEASED PARTIES”) HARMLESS FROM ANY AND ALL LIABILITIES ARISING AS A CONSEQUENCE OF ANY ACTS OR OMISSIONS ON THEIR PART, INCLUDING, BUT NOT LIMITED TO, ACTIVE OR PASSIVE NEGLIGENCE.

THE FOLLOWING APPLIES TO DIVERS ONLY:

1. I acknowledge that I am a certified scuba diver, trained in safe diving practices, and have practiced my diving skills within the last year, or I am under the direct supervision of a diving instructor.

2. I will be diving with a buddy, and it will be our responsibility to plan our dive, allowing for our diving limitations and the prevailing water conditions. I will not hold the above listed individuals responsible for my failure to safely plan my dive. I will remain with my buddy at all times.

3. I will immediately end my dive if:

(1) I feel uncomfortable with my planning abilities.

(2) Diving conditions are worse than I have been trained or have experience for.

4. I will have a snorkel, submersible pressure gauge, depth gauge, alternate air source, and a buoyancy compensator (BC) with an inflator hose.

5. I will arrive on board the boat with a minimum of 500 PSI still remaining in my tank, following each dive.

6. If I become distressed on the surface, I will immediately release my weight system and inflate my BCD for flotation assistance.

7. I am aware of the dangers of holding my breath while scuba diving and will not hold HORIZON, its agents, employees, or dive boats responsible, if I am injured or die doing so.

8. I will inflate my buoyancy system any time I am on the surface, even if just for a few moments.

THE FOLLOWING APPLIES TO DIVERS AND SNORKELERS:

9. I understand scuba diving and snorkeling have inherent risks and dangers associated therewith, including, but not limited to the risks associated with equipment failure, perils of the sea, acts of fellow divers, injuries from marine animals, injuries from boats and boat traffic, and I specifically assume such risks, including those risks which are not specifically enumerated herein.

10. I will inspect all of my equipment prior to the activity and will notify the above listed individuals if any of my equipment is not working properly. I will not hold HORIZON responsible for my failure to inspect my equipment prior to diving / snorkeling nor will I hold HORIZON responsible for equipment failure.

11. I affirm that I am in good mental and physical fitness for diving / snorkeling, and that I am not under the influence of alcohol, nor am I under influence of any drugs that are contradictory to diving / snorkeling. If I am taking medication, I affirm that I have seen a physician, and have approval to dive while under the influence of the medication / drugs. I will not hold HORIZON responsible or liable for any injury or death caused by my mental or physical conditions.

12. I understand that scuba diving / snorkeling is a physically strenuous activity, and that I will be exerting myself during the diving excursion, and that if I am injured or die as a result of a heart attack, panic, hyperventilation, lung or heart problems, or other illness or medical problems which occur while diving and or snorkeling, that I expressly assume the risk of said injuries and that I will not hold HORIZON responsible for the same.

13. I fully understand and am aware that I will be at a remote site and that the dive boat has limited medical equipment and that in the event of illness or injury, appropriate medical care must be summoned by radio and medical and / or hyperbaric care will be delayed until I can be transported to a proper medical care facility. I expressly assume the risk of diving in such a remote location.

14. HORIZON has made no representation to me, implied or otherwise, that they or the crew can or will perform safe rescues or render first aid. In the event I show signs of distress, or call for aid, I would like assistance and will not hold HORIZON, its employees, agents, crew, dive boats, or passengers responsible for their actions in attempting the performance of a rescue or first aid, nor will I hold HORIZON responsible for any delay in performing such rescue or first aid.

15. IT IS MY INTENTION, BY THIS INSTRUMENT, TO EXEMPT AND RELIEVE HORIZON DIVE ADVENTURES, INC., AND HORIZON DIVERS, ITS EMPLOYEES, AGENTS, OFFICERS, INSTRUCTORS, SERVANTS WHETHER SPECIFICALLY NAMED HEREIN OR NOT, FROM ANY AND ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE, OR OTHERWISE, AND I ASSUME ALL RISK IN CONNECTION WITH BOATING, SNORKELING, AND SCUBA DIVING ACTIVITIES AND INSTRUCTION.

16. I HAVE READ THE FOREGOING IN ITS ENTIRETY AND AGREE TO THE TERMS AND CONDITIONS HEREIN ABOVE SET FORTH ON BEHALF OF MYSELF, MY HEIRS, AND PERSONAL REPRESENTATIVES, AND FOREVER EXEMPT AND RELEASE HORIZON AND ALL RELATED ENTITIES FROM ALL LIABILITY WHATSOEVER, FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE.

17. I hereby state and agree, that this release will be effective and valid for all diving, snorkeling, or boating activities as defined above.

18. Certification of age…I certify that I am over 18 years of age, or that I am entering this agreement as the legal guardian for a minor that is under 18 years of age. I intend this to be a legally binding contract.

19. I understand that it is my option to wear a snorkel vest and agree not to hold HORIZON DIVE ADVENTURES, INC., or HORIZON DIVERS, responsible for any injuries I sustain as a result of my decision to wear or not to wear a snorkel vest.

20. ADVERTISING / PHOTO / VIDEO RELEASE: I permit my likeness to be used in items published by or for HORIZON DIVE ADVENTURES, INC., or HORIZON DIVERS.

I have read all of the above, understand, and agree to be bound by the same.

Today's Date: November 30, 2022




Please select who will be participating...
AdultMinor
Continue
First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Please enter the date of your last dive *

Please choose the first day/date that you will be diving with us *

Please choose the last day/date that you will be diving with us *
Level of Diving Certification (if you are not certified yet, select student) PLEASE PROVIDE THE LEVEL OF CERTIFICATION FOR THE DIVE THAT YOU ARE DIVING *
Not a certified diver
Open Water
Advanced Open Water
Rescue
Dive Master
Master Diver
Enriched Air (Nitrox)
Technical Diver (Open Circuit)
Technical Diver (Closed Circuit)
Instructor (Recreational Level)
Instructor (Technical Level)
Certifying Agency *
Not a certified diver
PADI
NAUI
IANTD
RAID
SDI/TDI
SSI
NACD
GUE

Certification #: (if you are not a certified diver, type in "not a certified diver") *
Rental Gear needed:
BCD
Regulator
Wetsuit
Mask/Snorkel/Fin
Full Set of Rental Gear (BCD, Reg, Mask/snorkel/fin, Wetsuit
Tank/Gas Selection:
Air Tanks
Nitrox
Have my own tanks
How did you hear about Horizon Divers?*

If magazine, shop, hotel, or other, please specify:
First Participant's Signature*
Participant'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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
PLEASE UPLOAD A PICTURE OF THE CERTIFICATION CARD YOU SPECIFIED EARLIER ON THIS FORM (if you are a student, snorkeler or bubble watcher, upload a picture of yourself)
  
Please upload the picture of the certification card that you specified earlier on this form (if you are student, upload a picture of yourself) *
Valid file types: JPG, GIF, PNG, and PDF
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Please enter the date of your last dive *

Please choose the first day/date that you will be diving with us *

Please choose the last day/date that you will be diving with us *
Level of Diving Certification (if you are not certified yet, select student) PLEASE PROVIDE THE LEVEL OF CERTIFICATION FOR THE DIVE THAT YOU ARE DIVING *
Not a certified diver
Open Water
Advanced Open Water
Rescue
Dive Master
Master Diver
Enriched Air (Nitrox)
Technical Diver (Open Circuit)
Technical Diver (Closed Circuit)
Instructor (Recreational Level)
Instructor (Technical Level)
Certifying Agency *
Not a certified diver
PADI
NAUI
IANTD
RAID
SDI/TDI
SSI
NACD
GUE

Certification #: (if you are not a certified diver, type in "not a certified diver") *
Rental Gear needed:
BCD
Regulator
Wetsuit
Mask/Snorkel/Fin
Full Set of Rental Gear (BCD, Reg, Mask/snorkel/fin, Wetsuit
Tank/Gas Selection:
Air Tanks
Nitrox
Have my own tanks
How did you hear about Horizon Divers?*

If magazine, shop, hotel, or other, please specify:
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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