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Deep Diver Course Enrolment Form


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Course and Trip Booking Cancellation Policies

Cancellation or transfer of course starting dates within 3 days of the nominated start date will result in loss of $300 deposit or if you wish to change your booking to another date there will be a $165 transfer fee.

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 on the forms below are answered 'yes' a valid medical statement from a certified GP 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 will result in an additional fee charged.
I Agree

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

This course is run over 2 days and 2 boat trips- 2 dives on the first day and 2 dives on the second day. If additional days are needed for any reason, fees will be applied at full retail rates.

I Agree

From the first day of your course you have 1 year to complete the course. If you take longer than 1 year to complete the practical components of the course you will be required to pay an additional fee at the discretion of Sunreef Management to complete a diver skills assessment in the pool before being able to complete your open water dives.
I Agree

Your PADI eLearning which is a requirement of the course is to be completed before attending your first day of your course. This expires after exactly 12 months from the day you redeemed your code. This can not be extended.

I Agree
 

This course requires you to be at least Adventure Diver certified and a minimum of 15 years of age. Failure to meet these requirements may incur the cancellation fees.

I Agree
 

 

January 27, 2021

Please read the following points carefully.

I understand and state that I am physically and mentally capable 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

Sunreef may cancel or change trip destinations or times 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, snorkel 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

January 27, 2021
Hire Terms and Conditions

All Sunreef equipment will remain on the vessels on diving days and be returned to the instructor following the pool session in the 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

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

January 27, 2021

 

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. *
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. *
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. *
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. *
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. *
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. *
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. *
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. *
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. *
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. *
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.
Medical Questionnaire

This is a declaration in which you are informed of some potential risks involved in scuba diving. Your electronic signature on this statement is required for you to participate in the training. 

Read this statement prior to signing it. You must complete this Medical Statement, which includes the medical questionnaire section, to enrol in the training. In addition, if your medical condition changes at any time during your scuba programs it is important that you inform your instructor immediately. If you are a minor, you must have this declaration electronically signed by a parent or guardian. 

Diving is an exciting and demanding activity. When performed correctly, applying corrent techniques, it is relatively safe. When established safety procedures are not followed, however, there are increased risks. 

To scuba dive safely, you should not be extremely overweight or out of condition. Diving can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air spaces must be normal and healthy. A person with coronary disease, a current cold or congestion, epilepsy, a severe medical problem or who is under the influence of alcohol or drugs should not dive. If you have asthma, heart disease, other chronic medical conditions or you are taking medications on a regular basis, you should consult your doctor and the instructor before participating in this program, and on a regular basis thereafter upon completion. You will also learn from the instructor the important safety rules regarding breathing and equalisation while scuba diving. Improper use of scuba equipment can result in serious injury. You must be thoroughly instructed in its use under direct supervision of a qualified instructor to use it safely. 

If you have any additional questions regarding this declaration or the Medical Questionnaire section, review them with your instructor before electronically signing. 

The purpose of this medical questionnaire is to find out if you should be examined by your doctor before participating in the entry-level recreational diving certificate training. A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a pre-existing condition that may affect your safety while diving and you must seek the advice of a medical practitioner, preferably with experience in diving medicine, prior to engaging in dive activities. 

Please answer the following questions on your past and present medical history by selecting YES or NO. If you are not sure, please tick YES. If any of these items apply to you, you must be assessed by a medical practitioner prior to participating in training. To undertake recreational diver entry level certificate training, the medical practitioner must issue you with a dive medical certificate that states that you are fit to undertake recreational diver training. 

Are you or are you trying to become pregnant?*
Are you currently taking prescription medications? (with the exception of birth control or anti-malaria medication)*

Have you ever had or do you currently have:

Asthma, wheezing with breathing or wheezing with exercise?*
Frequent or severe attacks of hayfever or allergy?*
Frequent colds, sinusitis or bronchitis?*
Any form of lung disease?*
Pneumothorax (collapsed lung)?*
Other chest disease or chest surgery?*
Behavioural health, mental or psychological problems (panic attacks, fear of closed or open spaces)?*
Epilepsy, seizures, convulsions or take medications to prevent them?*
Recurring complicated migraine headaches or take medications to prevent them?*
Blackouts or fainting (full/partial loss of consciousness)?*
Frequent or severe suffering from motion sickness (seasick, carsick, etc)?*
Dysentery or dehydration requiring medical intervention?*
Any dive accidents or decompression sickness?*
Inability to perform moderate exercise (walk 1.6km/1 mile within 12 minutes)?*
Head injury with loss of consciousness in the past 5 years?*
Recurrent back problems?*
Back or spinal surgery?*
Diabetes?*
Back, arm or leg problems following surgery, injury or fracture?*
High blood pressure or take medicine to control blood pressure?*
Heart disease?*
Angina, heart surgery or blood vessel surgery?*
Heart attack?*
Sinus surgery?*
Ear disease or surgery, hearing loss or problems with balance?*
Reccurent ear problems?*
Bleeding or other blood disorders?*
Hernia?*
Ulcers or ulcer surgery?*
A colostomy or ileostomy?*
Recreational drug use or treatment for, or alcoholism in the past 5 years?*

Are you over 45 years of age AND answer yes to the following:

Currently smoke a pipe, cigars or cigarettes?*
Have a high cholesterol level?*
Have a family history of heart attack or stroke?*
Are currently receiving medical care?*
High blood pressure?*
Diabetes mellitus, even if controlled by diet alone?*
The information I have provided about my medical history is accurate to the best of my knowledge. I agree to accept responsibility for omissions regarding my failure to disclose any existing or past health conditions.*
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. *
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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