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Key Largo Dive Center
100670 Overseas Highway
Key Largo, FL 33037

Complete Liability Release

I understand the purpose of signing this document is to exempt and release Key Largo Dive Center, LLC, its employees, agents, and dive boats, including those boats operated, leased or chartered (hereinafter referred to collectively as the released parties) from any and all liabilities arising as a consequence of their own negligence or gross negligence or otherwise.

I am a certified scuba diver or a student diver under the direct supervision of an instructor and have been taught and understand scuba diving has inherent risks and dangers associated herewith including, but not limited to, risks associated therewith equipment failure, perils of the sea, acts of fellow divers and I specifically assume such risks.

I certify that I have Dive Insurance. I will be providing the policy number in this waiver.

I acknowledge that I am physically fit to scuba dive and snorkel, and I will not hold Key Largo Dive Center, LLC, responsible if I am injured as a result of heart problems, lung problems, or other illnesses or medical problems which occur while diving and/or snorkeling. I meet the Recreational Scuba Training Council (RSTC) medical requirements.



I do not have in my possession any illegal drugs, nor am I taking, nor have I recently taken, any drugs or medications that would contraindicate diving. I certify that I meet the PADI medical requirements for diving or have a doctor's signed waiver.

Prior to leaving the dock I will inspect all of my equipment to be used. I will notify Key Largo Dive Center, LLC, if any of my equipment is not functioning properly. I certify that all of my scuba equipment has been serviced in accordance with manufacturers’ recommendations. If using my personal scuba cylinders I understand they must be within current Hydro and VIP timelines.

I will be present at and attentive to the safety briefing given by the boat captain and/or mate and if there is anything I do not understand or have been taught differently, I will notify the boat captain and/or mate immediately.

I understand that I have a duty to plan and carry out my own dive and to be responsible for my own safety and the safety of my buddy. I will remain with my buddy at all times.

I will start my ascent at the end of each dive with enough air to guarantee being on the boat with a minimum of 500 PSI remaining in my tank.

I will immediately stop my dive if:a.I feel uncomfortable with my diving abilities and/orb.Diving conditions are worse than I have been trained or for which I have experience.

I am aware of the dangers of holding my breath while diving and of the dangers associated with rapid ascents.

If I become distressed at the surface, I will immediately drop my weight belt and inflate my BCD for permanent flotation assistance and if I want or need assistance from the boat, I will give the proper “diver in trouble” signal.

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

It is my intention by this instrument to give up my right to sue the released parties and it is also my intention to exempt and relieve Key Largo Dive Center, LLC, its employees, agents, and dive boats, whether owned, operated, leased, or chartered (the hereinabove referred to released parties) from any and all liability for personal injury, property damage, or wrongful death caused by negligence or gross negligence of the released parties or otherwise, and I assume all risk in connection with these snorkeling and/or scuba diving activities.

I authorize the use of my image for promotion by KLDC, LLC (model release).

I understand I have a duty to exercise reasonable care for my own safety and agree to do so.

Boat Policies

All boats are non-smoking / non-vaping.


All Dives

All divers are required to supply proof of certification from a nationally recognized training organization.

If you are unsure of your skills, proficiency, dive currency, or are apprehensive about your ability to safely conduct any skills required for safe diving you must notify Key Largo Dive Center and not dive without completing a refresher course or you must dive with a certified SCUBA instructor until you demonstrate proficiency.

Certified divers will be required to dive with a divemaster / instructor for a minimum of one 2 tank dive trip and/or complete a fresher course prior to diving if any of the following conditions apply:

  • No ocean diving experience
  • No dives beyond initial certification
  • Divers with less than 25 logged dives whose last logged dive is over 12 months
  • Advanced Open Water Divers (or higher certification) with more than 25 logged dives whose last logged dive is over 18 months
  • Certified divers who have no logged dives in 5 or more years must complete a comprehensive SCUBA review course prior to diving and may be required to complete additional training as required to perform to the level of their SCUBA certification.

All divers are required to have the following SCUBA equipment: mask, fins, snorkel, regulator with alternate air source, pressure and depth gauges, compass, BCD with low pressure inflator hose, dive watch or dive timing device, Surface Marker Buoy (SMB), knife or dive shears. All dive gear must have been serviced according to manufacturer's recommendations.

All divers must dive with their buddy and return to the boat with their dive buddy.

All divers must be back on the boat with a minimum of 500 PSI remaining in their tank.

All divers must stay within the limits of the dive flag.

All divers are highly encouraged to carry a Surface Marker Buoy (SMB).

Certified divers are responsible for planning their own dive in accordance with no decompression tables and/or computer and to dive within their plan.

I understand that I must perform to the level of my SCUBA certification or my dive will be terminated.

Divers must be physically, mentally, and medically fit to dive and must meet PADI medical standards for divers.

 

USS Spiegel Grove, USCGC Duane, USCGC Bibb and Other Dives Over 80 Feet, But Not to Exceed 130 Feet

In addition to ALL of the above "All Dives" requirements:

All divers must be Advanced Certified or higher and have a deep dive (below 80 feet) logged in a log book within the past 12 months and provide the log book as proof or be in training under the direct supervision of a Key Largo Dive Center approved instructor.

All divers are also required to have the following SCUBA equipment: an alternate air source, a Surface Marker Buoy (SMB), spool, and a dive computer. Each diver in a buddy team must have their own computer in order to follow a computer profile. Absolutely no sharing of computers.

Decompression diving is not permitted. It is suggested that you perform a minimum 3 minute Safety Stop at 15 feet on all deep dives as part of your normal, safe ascent. A half stop at 1/2 your maximum depth for 3 minutes is highly recommended.

All divers are responsible for planning and conducting their dives. It is not the responsibility of Key Largo Dive Center, LLC, or the crew of the Key Largo Diver to plan your dive profile or to instruct certified divers about no-decompression dive techniques.


 

Night Dives

In addition to ALL of the above "All Dives" requirements:

All divers are also required to have the following SCUBA equipment: a primary underwater light, a back-up underwater light, a chemical glow stick, and a whistle or other aural signaling device, and a Surface Marker Buoy (SMB) capable of mounting a glow stick and spare glow stick or equivalent.

 

First Diver's Name

First Name*

Middle Name

Last Name*

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

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
First Diver's Signature*
Second Diver's Name

First Name*

Middle Name

Last Name*
Second Diver's Date of Birth*
Second Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Second Diver's Signature*
Third Diver's Name

First Name*

Middle Name

Last Name*
Third Diver's Date of Birth*
Third Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Third Diver's Signature*
Fourth Diver's Name

First Name*

Middle Name

Last Name*
Fourth Diver's Date of Birth*
Fourth Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Fourth Diver's Signature*
Fifth Diver's Name

First Name*

Middle Name

Last Name*
Fifth Diver's Date of Birth*
Fifth Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Fifth Diver's Signature*
Sixth Diver's Name

First Name*

Middle Name

Last Name*
Sixth Diver's Date of Birth*
Sixth Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Sixth Diver's Signature*
Seventh Diver's Name

First Name*

Middle Name

Last Name*
Seventh Diver's Date of Birth*
Seventh Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Seventh Diver's Signature*
Eighth Diver's Name

First Name*

Middle Name

Last Name*
Eighth Diver's Date of Birth*
Eighth Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Eighth Diver's Signature*
Ninth Diver's Name

First Name*

Middle Name

Last Name*
Ninth Diver's Date of Birth*
Ninth Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Ninth Diver's Signature*
Tenth Diver's Name

First Name*

Middle Name

Last Name*
Tenth Diver's Date of Birth*
Tenth Diver's Information

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
Tenth Diver's Signature*
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*

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
You are agreeing to let your minor child engage in a potentially dangerous activity. You are agreeing that, even if Key Largo Dive Center including their staff, management, and employees uses reasonable care in providing this activity, there is a chance your child may be seriously injured or killed by participating in this activity because there are certain dangers inherent in the activity which cannot be avoided or eliminated. By signing this form, you are giving up your child’s right and your right to recover from Key Largo Dive Center including their staff, management, and employees in a lawsuit for any personal injury, including death, to your child or any property damage that results from the risks that are a natural part of the activity. You have the right to refuse to sign this form, and Key Largo Dive Center has the right to refuse to let your child participate if you do not sign this form. INSTRUCTIONS FOR ADDENDUM FOR USE IN FLORIDA These instructions are to assist you in completing the Addendum for Use in Florida. 1. The Addendum for Use in Florida must be completed for all snorkeling, skin and/or scuba diving instruction or supervised activity which takes place within the State of Florida. 2. The Addendum for Use in Florida must be completed with respect to all minor children who participate in snorkeling, skin and/or scuba diving instruction or supervised activities in the State of Florida, regardless of whether the minor child and/or the natural guardian is a resident of or lives in the State of Florida. 3. A minor child, as that term is used in the Addendum for Use in Florida, means a person under 18 years of age at the time the Addendum for Use in Florida is completed. 4. The Addendum for Use in Florida is NOT a replacement for the release of liability, waiver of claims, express assumption of risk and indemnity agreement, but is to be completed in addition to that agreement when a minor child is the participant. 5. Please make sure that the Addendum for Use in Florida is completed, signed, and dated before any participation by a minor child in any snorkeling, skin and/or scuba diving instruction and/or supervised activity takes place.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

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

Date of Last Dive *

Depth of Your Deepest Dive? *

Date of Last Deep Dive (>80 FSW)
Dive Agency*
Diver Certification Level*

Diver Certification Number (Enter Student if Applicable) *

Diver Certification Date (Enter Today's Date of Student) *
Are you EAN / Nitrox Certified?*

EAN / Nitrox Certification Number (Enter Student if Applicable)

Dive Insurance Policy Number *
How did you hear about Key Largo Dive Center?*
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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