If you answered YES to any of these questions, then you must be evaluated by a physician who must approve you to dive, prior to any in-water
diving activities. You are responsible for obtaining a completed Physician's Approval to Dive form and provide that completed form to your
instructor before any in-water dive training. Additionally, if you are under the influence of alcohol or recreational drugs, unable to swim, prone to panic attacks, unable to exercise good
judgment or you are unable to be responsible for you own wellbeing, then you have a significant increase to risks of illness, injury and death
while in the water and you should unconditionally refrain from swimming or diving. Failure to complete this form truthfully may result in
serious illness, injury or death. I explicitly agree to accept full responsibility for failing to disclose any past or current health condition that affects my safety while diving. |