Loading...

Boat Travel, Scuba Diving,

Snorkeling, Bubble Watching,

Free-diving, Shark Diving

LIABILITY RELEASE AND ASSUMPTION OF RISK

I affirm that I am a passenger, snorkeler, free diver, certified scuba diver or a student diver under the control and supervision of a certified scuba instructor, and that I thoroughly understand the hazards of scuba diving, snorkeling or free diving including those hazards occurring during boat travel to and from the dive site (hereinafter collectively referred to as “Excursion”).

I understand that these inherent risks include, but are not limited to, drowning, air expansion injuries, decompression sickness, embolism, or other hyperbaric injuries that require treatment in a recompression chamber; slipping or falling while on board, being cut or struck by a boat while in the water, injuries occurring while getting on or off a boat, and other perils of the sea; all of which can result in serious injury or death. I understand the Excursion will be conducted at a site that is remote, either by time or distance or both, from a recompression chamber and emergency medical facilities. I still choose to proceed with the Excursion. By signing this Agreement, I certify that I am fully aware of and expressly assume these and all risks involved in making such a boat trip, snorkeling and scuba dive(s), whether conducted as a certified diver or a student diver in a diving class.

I understand and agree that neither ACE DIVING LLC, (hereinafter “The Dive Center”); nor the owner(s), officers, employees; nor the dive professional(s); nor the crew; nor ACE SAILING CHARTERS LLC, (hereinafter “The Vessel Owner”); nor the owner(s), officers, employees; nor the dive professional(s); nor the crew; nor E-ZEN-TIAL, (hereinafter called “The Vessel”); nor the owner(s), officers, employees; nor the dive professional(s); nor the crew; nor PADI America, Inc, nor its affiliates or subsidiary corporations; nor the owners, officers, employees, agents, contractors or assigns of the above listed individuals and/or entities (hereinafter “Released Parties”) may be held liable or responsible in any way for any personal injury, property damage, wrongful death or other damages to me or my family, estate, heirs or assigns that may occur as a result of my participation in the Excursion, or as a result of the negligence of any party, including the Related Parties, whether passive or active.

I affirm I am in good mental and physical fitness to snorkel or scuba dive. I further state that I am not under the influence of alcohol or any drugs that are contradicted to snorkeling or diving. If I am taking medication, I affirm that I have seen a physician and have approval to snorkel or dive while under the influence of the medication/drug. I understand that snorkeling, skin and scuba diving are physically strenuous activities and that I will be exerting myself during the Excursion, and that if I am injured as a result of a heart attack, panic, hyperventilation, drowning or any other cause, that I expressly assume the risk of said injuries and that I will not hold the Released Parties responsible for the same.

I am aware that safe dive practices suggest diving with a buddy unless trained as a self-reliant diver.  Accordingly, it is my responsibility to plan my dive allowing for my diving experiences and limitations, and the prevailing water conditions and environment. I will not hold the Released Parties responsible for my failure to safely plan my dive, dive my plan, and follow the instructions and dive briefing of the dive professional(s)/vessel crew. I affirm it is my responsibility to inspect all of my equipment prior to the Excursion and that I should not dive if my equipment is not functioning properly. I will not hold the Released Parties responsible for my failure to inspect my equipment prior to diving or if I choose to dive with equipment that may not be functioning properly.

I further state that I am of lawful age and legally competent to sign the Agreement, or that I have obtained the written consent of my parent or guardian.  I understand the terms herein are contractual and not a mere recital, and that I have signed the Agreement of my own free act and with the knowledge that I hereby agree to waive my legal rights. I further agree that if any provision of this Agreement if found to be unenforceable or invalid, the provision shall be severed from the Agreement.  The remainder of the Agreement will then be construed as though the unenforceable provision had never been contained herein.

In consideration of being allowed to participate in the Shark dive(s), I hereby personally assume all risks in connection with said dive(s), for any harm, injury or damage that may befall me while I am a participant, including all risks connected therewith, whether foreseen or unforeseen. I understand that I am requesting to participate in a scuba dive that is intended to be done in the presence of wild and unpredictable sharks. I understand that the shark handler will intentionally attract these sharks to the immediate area of this dive and that I will be swimming unprotected. I will not attempt to touch, feed, or harass any sharks and understand that in doing so I may be asked to get out of the water. By my signature on this Assumption of Risk and Complete Release of Liability, I acknowledge that I am making this request to dive with these sharks with the full knowledge of the dangers involved with swimming with sharks. I have not been promised nor told anything to the contrary from what is stated in this Liability Release and Assumption of Risk Waiver Agreement. 

I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns or beneficiaries may have to sue the Released Parties resulting from my death. I further represent that I have the authority to do so and my heirs, assigns and beneficiaries will be stopped from claiming otherwise because of my representation to the Released Parties.

EQUIPMENT RENTAL AGREEMENT

I affirm it is my responsibility to inspect all of the equipment and acknowledge it is in good working condition. I affirm that it is my responsibility to check both the quality and quantity of gas in any scuba tanks. I acknowledge that I should not dive if the equipment is not functioning properly. I will not hold the Released Parties responsible for my failure to inspect the equipment prior to diving or if I choose to dive with equipment that may not be functioning properly.

I understand that skin diving and scuba diving are physically strenuous activities, that I will be exerting myself during these activities, and that if I am injured as a result of heart attack, panic, hyperventilation, drowning or any other cause, that I expressly assume the risk of said injuries and that I will not hold the Released Parties responsible for the same.

I agree to reimburse the ACE DIVING LLC for the loss or breakage of any and all equipment at the current replacement value and to also pay for damages incurred while transporting the equipment. I agree to return the equipment in clean condition and to pay a cleaning fee if not returned cleaned.

I, BY THIS INSTRUMENT AGREE TO EXEMPT AND RELEASE THE RELEASED PARTIES AND ALL RELATED ENTITIES AS DEFINED ABOVE, FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH AS A RESULT OF RENTING AND/OR USING THE EQUIPMENT, HOWEVER CAUSED, INCLUDING, BUT NOT LIMITED TO PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE.

I HAVE FULLY INFORMED MYSELF AND MY HEIRS OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKNOWLDGEMENT AGREEMENT AND LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT BY READING BOTH BEFORE SIGNING BELOW ON BEHALF OF MYSELF AND MY HEIRS.

I HAVE FULLY INFORMED MYSELF AND MY HEIRS OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKOWLEDGEMENT AGREEMENT AND LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT BY READING BOTH BEFORE I SIGNED BELOW ON BEHALF OF MYSELF AND MY HEIRS.

July 26, 2021

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
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*
Trip Information
Please select:*

Trip Date *
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*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Participants Level*
Do you know how to swim?*
NO
Yes

SNORKELERS AND BUBBLE WATCHERS PLEASE SKIP TO SIGNATURE.



ONLY FOR DIVERS.

Certifying Agency

Certification #
NITROX Certifying Agency

NITROX Certification #
Diver Accident Insurance?*
No
Yes

Policy Number

Insurance Co.
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!