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Continuing Education Course Enrolment Form


Review Privacy Policy


Please read the following points carefully.

I understand and state that I am physically and mentally capable and trained to participate successfully in open sea condition diving. I further acknowledge that Sunreef Diving will give no refunds for seasickness, inability to equalize or for any other reason that prevents an individual from participating fully.

I Agree

I have no medical condition that would affect my ability to safely dive and I am not taking any medication that has not been approved by my physician for diving. I am not currently under the effect of alcohol or drugs.
I Agree

I will not fly within 24hrs from surfacing after my last dive.
I Agree

I warrant that as a certified diver my skill levels are at least equal to a newly certified open water diver. I understand that dive guides supplied by Sunreef are solely to enhance my diving experience and not because such guidance is required to compensate for my lack of diving skill.
I Agree

Sunreef may cancel or change trip destinations at any time due to weather or any other unforeseen circumstances.
I Agree

I will follow the direction of Sunreef staff at all times to ensure a safe and fluid operation. I will listen to all briefings and seek advice if I don't understand any part of the brief.
I Agree

I take the responsibility for checking the safe and correct operation of my dive equipment prior to diving whether the equipment be provided by myself or Sunreef Hire Gear. I will carry and know how to use the following:- safety sausage, whistle and dive computer.
I Agree

I take responsibility for the planning of my dive and then diving my plan within a safe NO DECOMPRESSION DIVE.
I Agree

By acknowledging this, I agree to release Sunreef, its employees/contractors or associated agents from being sued for personal injury, wrongful death or damage to personal equipment. I am fully aware of the contents of this form and have clearly read and understood all the above points. This document is valid for 12 months from date of submission.
I Agree

By providing your email address you give permission for Sunreef to contact you in regards to diving activities and promotions.
I Agree

By filling out this form I agree to allow Sunreef Mooloolaba to use any pictures of have myself or any pictures that were taken on my trip on any social media site.
I Agree

If I am undertaking a dive on the EX-HMAS Brisbane I understand that my first dive will be an orientation dive with guide. No penetration will be allowed. Penetration dives are not to be undertaken if the sea conditions, visibility or diver ability are not seen adequate by Sunreef Employees.

I Agree

December 11, 2019


Hire Terms and Conditions

All equipment will be returned to Sunreef Diving Services – 123 Parkyn Pde, Shop 11-12 'The Wharf', Mooloolaba, QLD in a washed and clean condition as it was in upon delivery to the hirer at the commencement of hiring.

I Agree

If the equipment is returned after the return date, it will be charged for until return, on a daily basis at the regular rates charged by the company.
I Agree

If any equipment is returned in a damaged state or lost, the same shall be replaced or repaired at Sunreef Diving’s sole discretion. Whenever repairs or replacement is required the amount charged shall be the replacement cost of the Unit at Retail Cost or repair cost.
I Agree

It is understood that the Hirer is a competent diver and that no claim whatsoever can be forthcoming from the use of the above equipment.
I Agree

All equipment is to be inspected by the Hirer prior to leaving the dive centre for correct function and serviceability.
I Agree

Tanks being hired are to be checked to ensure they have a fill pressure of at least 200 Bar.
I Agree

Once equipment leaves the Dive Centre it is considered hired and no refunds are applicable, including unused air.
I Agree

Please note that no refund will be issued for any dives not completed.
I Agree

December 11, 2019

Course and Trip Booking Cancellation Policies

Cancellation or transfer of course starting dates within 21 days of the nominated start date will result in loss of $330 deposit.

I Agree

Final payment is due on the first day of the course upon arrival this fee is non- refundable
I Agree

If any of the medical questions are answered 'yes' a valid 4005.1 AS Dive Medial is required, if this cannot be produced on the first day of the course the above cancellation policies apply.
I Agree

Failure to turn up for any portion of the course at the time stipulated by Sunreef Employees a additional fee will be charged
I Agree

If any dives are missed for any reason and additional charter fee is applicable at the discretion of Sunreef Management. This includes but is not limited to seasickness and equalization issues. 
I Agree

December 11, 2019

 

First Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
First Student Diver's Date of Birth*
First Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
First Student Diver's Signature*
Second Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Second Student Diver's Date of Birth*
Second Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Second Student Diver's Signature*
Third Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Third Student Diver's Date of Birth*
Third Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Third Student Diver's Signature*
Fourth Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Student Diver's Date of Birth*
Fourth Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Fourth Student Diver's Signature*
Fifth Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Student Diver's Date of Birth*
Fifth Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Fifth Student Diver's Signature*
Sixth Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Student Diver's Date of Birth*
Sixth Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Sixth Student Diver's Signature*
Seventh Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Student Diver's Date of Birth*
Seventh Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Seventh Student Diver's Signature*
Eighth Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Student Diver's Date of Birth*
Eighth Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Eighth Student Diver's Signature*
Ninth Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Student Diver's Date of Birth*
Ninth Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Ninth Student Diver's Signature*
Tenth Student Diver's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Student Diver's Date of Birth*
Tenth Student Diver's Information

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
Tenth Student Diver's Signature*
Student 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.
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*

Middle Name

Last Name*

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

Email Address (must be unique for each participant) *

Emergency shore based contact name. (This is an emergency contact ashore we can contact in the event of an emergency) *

Emergency Shore Contact Phone No. *
Do you have a minimum of a PADI Open Water qualification or equivalent from another training agency.*

When was your last dive? *
Have you looked over the medical forms sent on your booking confirmation.*
Was there anything in the medical forms that you would need to answer Yes to?*
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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