Statement of Risks and Liability for Enriched Air (Nitrox) Diving
Please read carefully before signing.
This is a statement in which you are informed of the risks of skin and scuba diving and the particular hazards of scuba diving with enriched air. The statement also sets out the circumstances in which you participate in the diving program at your own risk.
Your signature on this statement is required as proof that you have received and read this statement. It is important that you read the contents of this statement before signing it. If you do not understand anything contained in this statement, then please discuss it with your instructor. If you are a minor, this form must also be signed by a parent or guardian.
Skin and scuba diving have inherent risks which may result in serious injury or death.
Diving with oxygen enriched air ("Enriched Air") involves certain inherent risks of oxygen toxicity and/or improper mixtures of breathing gas. Also, diving with compressed air involves certain inherent risks; decompression sickness, embolism or other hyperbaric injury can occur that require treatment in a recompression chamber. Open water diving trips which are necessary for training and for certification, may be conducted at a site that is remote, either by time or distance or both, from such a recompression chamber. Skin and scuba diving are physically strenuous activities and you will be exerting yourself during this diving program. You must advise truthfully and fully inform the dive professionals and the facility through which this program is offered of your medical history.
EXCLUSION OF LIABILITY
I understand and agree that neither the dive professionals conducting this program, nor the facility through which this program is conducted, Key Largo Dive Center LLC, nor Florida Dive Boat Partners Inc, nor PADI International Ltd., nor PADI Americas, Inc., nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents or assigns (hereinafter referred to as "Released Parties") accept any responsibility for any death, injury or other loss suffered or caused by me or resulting from my own conduct or any matter or condition under my control that amounts to my own contributory negligence.
In the absence of any negligence or other breach of duty by the dive professionals conducting this program, the facility through which this program is offered, Key Largo Dive Center, PADI International Ltd., PADI Americas, Inc., and all released entities and released parties as defined above, my participation in this diving program is entirely at my own risk.
I acknowledge receipt of this Statement and have read all of the terms before signing this Statement.