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This is a MANDATORY waiver to be filled out by all snorkeler(s) or passenger(s) with Silent World Scuba. Please note if you are a minor the minor release must be filled out in addition to this release. 

Thank You! 

SILENT WORLD SCUBA LLC / SCUBATOWN LLC

Snorkel Trip / Passenger Complete Liability Release 

1. I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH SNORKELING AND BOATING, including but not limited to equipment failure, perils of the sea, acts of other participants, adverse sea and weather conditions and I HEARBY ASSUME SUCH RISKS.

2. I UNDERSTAND THAT I HAVE A DUTY TO EXERCISE REASONABLE CARE FOR MY OWN SAFETY AND AGREE TO DO SO.

3. I assert that I am physically fit to snorkel and ride on a boat and I will not hold Silent World Scuba LLC, Scubatown LLC or its employees, ages, or other associated personnel responsible if I am injured as a result of ANY problems (medical, accidental, or otherwise) which occur while snorkeling, riding on the boat, or otherwise participating in the trip.

4. I will not remove my snorkel vest (buoyancy control device or B.C.) at any time while in the water. I acknowledge that doing so will constitute a violation of safety rules and procedures for which I expressly assumes the risk.

5. If I become distressed at the surface, I will immediately inflate my snorkel vest for floatation and signal for assistance.

6. I fully understand that the involved boat has limited medical facilities and that in the event of illness or injury, appropriate medical care must be summoned by radio and treatment will be delayed until I can be transported to a proper medical facility. I agree in advance to these conditions.

7. Silent World Scuba LLC or Scubatown LLC have made no representation to me implied or otherwise that they or their 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 Silent World Scuba LLC or Scubatown LLC, its crew, dive boats, or passengers responsible for their actions in attempting the performance or rescue or first aid.

8. I agree to forever discharge and release Silent World Scuba LLC, Scubatown LLC, its employees and agents, the owners of the boats, and their employees and agents, from any and all responsibility or liability for any and all damages. I agree NOT to make a claim against or sue any of the above parties for injuries or damages, whether they arise from and NEGLIGENCE or GROSS NEGLIGENCE or other liability. I further specifically agree, on behalf of myself, my heirs and assigns, to indemnify and hold harmless the released parties for any and all causes of action arising as a consequence of any incident which might occur as a consequence of my participation in any snorkeling or boating activities with or involving the released parties.

9. I HAVE READ THIS AGREEMENT, UNDERSTAND IT, AND AGREE TO BE BOUND BY IT, FROM THE DATE OF MY SIGNATURE, FOREVER INTO THE FUTURE. 

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

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Snorkeling with Silent World Scuba

Snorkeling with Silent World Scuba from Date *

To *
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you hear about us?
How did you hear about us? *
Website
Instagram
Youtube
Google
Facebook
Friend or Family
Dive Shop Referral
Walk-In
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Snorkeling with Silent World Scuba

Snorkeling with Silent World Scuba from Date *

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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