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Ningaloo Whaleshark Swim Participation Agreement

  • I declare I am healthy, and have no medical conditions that I am aware of that reasonably may or should preclude me from engaging in marine-based physical activities.  
  • If I have any medical or physical conditions that could significantly impact on my ability to participate safely in this tour, I have approval from my doctor/GP/medical advisor to engage in these activities during the tour.
  • My signature below indicates that all relevant information pertaining to my medical or physical condition or medications has been disclosed to tour organisers, either:
  • My signature also confirms that I in no way am relying on tour organisers to judge how suitable this tour is for me to do, that this is solely my responsibility, and I acknowledge that they do not have the medical expertise to determine whether the tour is suitable for me given my physical and medical conditions communicated to them.
  • I fully understand the risks associated with physical activity in natural settings such as snorkelling in the ocean, and in a confined space onboard a vessel surrounded by other passengers and crew, and choose to accept these risks, and take full responsibility for my choices in doing so.
  • I declare that I am willing to follow all rules, terms & conditions as required of me by Ningaloo Whaleshark Swim associated with the delivery of their Humpback Whale and Whales Shark Tours, plus any and all additional tour activities organised by the company, its related entities, agents and employees.
  • I exempt and release Ningaloo Whaleshark Swim and all of its staff, agents, owners, Directors and related parties from all responsibility for injury, loss of life, treatment provided, and / or loss of property or damage, however caused, to the full extent allowable by law.
  • My signature below indicates I fully understand the above statements.
  • My signature below indicates that if there is anything within the boat safety briefing that I do not fully understand, I commit and take full responsibility for seeking explanation and clarification from the tour staff to ensure I do understand the contents of this briefly completely.
  • [If diving during your tour] My signature below indicates I have correctly and accurately provided details relating to the number of logged dives I have to date, and the length of time since my last SCUBA dive, as well as fully disclosed all medical conditions that may preclude me from compressed air diving.
  • I WAIVE, RELEASE AND DISCHARGE from any and all liability for death, disability, personal injury, property damage, property theft and all other risks, claims or actions of any kind (including breach of contract, acts of negligence to the fullest extent permitted by law) whatsoever and however occurring, together with any legal fees incurred as a result of any such claim whether it is valid or not, which I at any time had or have as a result of or in connection with, directly or indirectly, my volunteering in and my travelling to and from Ningaloo Whaleshark Swim’s operations, including the following person or entities:
    Ningaloo Whaleshark Swim Pty Ltd
    Ningaloo Reef Dreaming Pty Ltd
    Department of Biodiversity Conservations and Attractions and its Director, Director General Matthew Winter and all crew and staff and volunteers of any of the above organisations and its agents, suppliers or customers, all community organisations, all State, Federal and Local Government authorities in which the Tours are run, and the owners, licensees or occupiers of any property upon which I enter and their (its) respective officers, directors, employees, independent contractors, sponsors, representatives, agents, members and participants, including medical and paramedical personnel.
First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
Parent or Guardian's Email Address

Email*
Sign up for the latest tour updates, news and exclusive Experience Wonder offers.
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those 16 years of age and under) 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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Booking Details

What is your booking reference code? This starts with 'R' and can be found at the top of your confirmation email. *

What is your tour date? *
Where would you like to be picked up from on the day of your tour? *
7:10am: Manta Rays / Novotel Ningaloo
7:15am: Exmouth Escape / Xcape
7:20am: RAC or Exmouth Cape Holiday Park
7:25am: Ningaloo Lodge
7:25am: Ningaloo Caravan & Holiday Park
7:30am: Potshot Resort or YHA Backpackers
7:50am: Yardie Homestead
8:00am: Tantabiddi Boat Ramp
Camping in the National Park? Meet us at Tantabiddi Boat Ramp at 8:00am sharp
Driving from Coral Bay? Meet at RAC Exmouth Cape Holiday Park at 7:20am
If you are staying somewhere that isn't listed, please contact us to find out your closest pick up location!
Don't know at this time? Please notify us by 4.00pm the day before your tour
You are booked as?*
A Swimmer
An Observer
I confirm I can swim 100m unassisted wearing a mask, fins and snorkel*
Yes
No
Do any of these apply to you?
I am more than three months pregnant
I have a history of heart attacks, heart disease, strokes or lung disease
I have had heart surgery, angina or blood vessel surgery
I currently have a cold, sinusitis or bronchitis
I have a history of blackouts or fainting
I have high blood pressure or take medication to control high blood pressure
I have a history of blood or bleeding disorders
I have diabetes that affects my ability to participate in strenuous physical activity
Asthma causes me concern when exercising or at other times

Emergency Contact Name - THIS MUST BE SOMEONE WHO IS NOT JOINING YOU ON THE TOUR *

Emergency Contact Number *
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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