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RELEASE OF LIABILITY AND ASSUMPTION
OF RISK AGREEMENT

THIS IS AN IMPORTANT AGREEMENT, PLEASE READ IT CAREFULLY BEFORE SIGNING.

I hereby affirm that I am aware that freediving and scuba diving (“activities covered by this Release”) are inherently dangerous activities that can cause permanent injury or death, even when done properly, cautiously and safely.

I understand that diving with compressed air involves certain inherent risks; including but not limited to decompression sickness, embolism, oxygen toxicity, inert gas narcosis or other hyperbaric/ air expansion injuries that require treatment in a recompression chamber. I still choose to proceed with such instructional dives in spite of the possible unavailability of a recompression chamber in proximity to the location in which I shall carry out the activities covered by this Release, the Deep Dive Dubai diving pool.

In consideration of the services of Deep Dive Dubai LLC and/or any of its affiliates and/or subsidiary entities, their agents, owners, officers, volunteers, employees, participants, contractors, subcontractors, service providers, designees, instructors, and all other persons acting in any capacity on their behalf, the manufacturers of equipment utilised for the activities covered by this Release, and any other landowners, property owners, tenants and sponsors connected with the activities covered by this Release (hereinafter collectively referred to as “Deep Dive Dubai”), on behalf of myself, my family, representatives, estate, heirs, assigns, successors and executors, I hereby unconditionally agree as follows:

  1. RELEASE OF LIABILITY
    I hereby fully RELEASE AND DISCHARGE my instructor(s) and Deep Dive Dubai LLC from any liability, claims, demands or causes of action whatsoever arising out of any damage, loss or injury or damages (whether bodily or emotional), or my property, or my disfigurement, paralysis or death, while preparing to participate and/or participating in any of the activities covered by this Release, whether resulting from the negligence or other fault, act or omission, either active or passive, direct or indirect, of any party, including Deep Dive Dubai, or from any other cause. Should I observe any significant hazards during my presence or participation in the activities covered by this Release, I will remove myself from the activity and notify the nearest official immediately.
     
  2. ASSUMPTION OF RISK
    I understand, acknowledge and accept that my participation in the activities covered by this Release entails certain known and unanticipated risks and dangers that cannot be foreseen. I understand that these risks include, but are not limited to: equipment malfunction or failure to function; defective or negligent design or manufacture of equipment; improper or negligent operation, maintenance or use of equipment; carelessness or negligence of instructors and equipment operators; falling on or being impacted by other participants; slippery or wet equipment; impacting the ground and/or apparatus and/or pool props and/or associated mechanical structures; displaced safety equipment; general slips/trips/falls or painful crashes while using any of the equipment or the premises at large; operating out of control or beyond my or another participants’ limits; the negligence of other visitors who may be present; participants giving or following inappropriate advice; and my own negligence or inexperience. I voluntarily, freely, expressly and unconditionally choose to assume all of the risks associated with the activities covered by this Release, including but not limited to, all risks set out in this paragraph, and expressly understand that those risks may include bodily, emotional, mental, and personal injury, illness, heart attack, panic, hyperventilation, drowning, shallow water blackout or other forms of unconscious response, fatigue, exhaustion, decompression sickness, embolism, oxygen toxicity, narcosis induced disorientation, hyperbaric/air expansion injury, ear/ear drum injury/rupture as well related barotrauma injuries, sinus injury, damage, loss, damage to property, disability, disfigurement, paralysis or death to myself or to third parties. I understand all time spent in an underwater dry habitat is under pressure and is the same as time spent underwater. I understand that diving within an overhead area prevents my direct ascent to the surface and that I undertake such risks voluntarily and on my own volition. I understand that different breathing gasses have different depth limits and that I will be fully informed and trained before undertaking use of any breathing gas and that I will personally analyze these gasses and honor all depth limits therein associated. I voluntarily and freely choose to assume such risks and take all responsibility in respect of such risks, whether or not described above, no matter what the circumstances of the accident and/or injury.
     
  3. AGREEMENT NOT TO SUE
    I agree never, at any time now or in the future, to institute any lawsuit or cause of action against Deep Dive Dubai or anyone else claiming on my behalf, or initiate or to assist in the prosecution of any claim for damages in respect of injury to person or property, or my death, or any other loss or damage howsoever occasioned arising from the activities covered by this Release, whether caused by the act, omission, negligence or fault, active or passive, direct or indirect or from any other cause, in any jurisdiction including without limitation any court in Dubai or United Arab Emirates.
     
  4. PHYSICAL CONDITION
    I confirm that I have read, understood and completed the Medical Statement to the best of my knowledge. I certify that I am fully aware of my own physical limitations and have not been advised by a qualified medical professional not to participate in the activities covered by this Release and/or activities of a similar nature. I warrant that I do not suffer from any medical condition(s) or health-related problem(s) that preclude participation in the activities covered by this Release or which may result in me potentially being in a position of risk. I have not taken any alcoholic beverages, drugs, medicines or substances within the last 12 (twelve) hours which may impair my motor and visual skill, or cause any other impairment. I will avoid traveling to a high altitude for at least 24 (twenty-four) hours after participating in the activities covered by this Release, including avoiding sky diving, undertaking air travel and/or ascending to a high altitude floor of a high-rise building. I confirm that I am physically fit and capable of undertaking the activities covered by this Release. Deep Dive Dubai will not make an evaluation or recommendation as to my physical limitations, and I will not construe any statement or action by Deep Dive Dubai as an evaluation of, or a recommendation as to, my physical limitations, with respect to whether I am physically fit to participate in the activities covered in this Release. I agree to abide by the decision of Deep Dive Dubai’s official or agent regarding my participation in the activities covered by this Release. It is my responsibility to immediately advise a member of staff of any condition that may occur to me and that I will immediately cease further participation in the activity. I irrevocably authorize that efforts be made to secure medical treatment for me and consent to all medical treatments and invasive procedures necessary or convenient in order to cure, stabilize or protect my life and wellbeing. I personally guarantee the payment of any cost or expense related to my medical treatment and/or the medical treatment of any person injured as a result of my participation in the activities covered by this Release.
     
  5. WAIVER OF CLAIMS AND INDEMNITY
    I understand that by signing this Release, I voluntarily release, forever discharge and agree to indemnify and hold harmless Deep Dive Dubai from and against any and all liabilities, claims, losses, demands, or causes of action, or proceedings of any kind and character, which are in any way connected with my participation in the activities covered by this Release, including such claims that allege negligent acts or omissions of Deep Dive Dubai. Should Deep Dive Dubai or anyone acting on their behalf, be required to incur attorney’s costs and fees to enforce this Release, I agree to indemnify and hold harmless for all such fees and costs. I additionally agree to indemnify Deep Dive Dubai against any legal cost, medical cost and any other expense arising from any and all injuries, liabilities or damages from my participation in the activities covered by this Release.
     
  6. WAIVER OF RIGHTS
    I understand that by signing this Release, I am giving up important legal rights, and it is my intent to do so and I do so of my own free will and with full acknowledgement of, and agreement to, the terms and conditions in this Release.
     
  7. TRAINING
    I understand that prior to participating in the activities covered by this Release, I shall receive a safety briefing. I warrant the thoroughness and completeness of any training and/or briefing I receive by voluntarily participating in the activities covered by this Release. I agree not to manipulate or interfere in any way with the infrastructure or equipment used in the activities covered by this Release including, but not limited to, underwater cameras, speakers and lighting systems, cabling and related fixtures, pool equipment, mechanical infrastructure, underwater habitats at 21m and 6m, and inappropriate disassembly of diving equipment, and I shall obey the instructions and safety warnings issued by Deep Dive Dubai at all times.
     
  8. ENTIRE AGREEMENT
    I understand this Release contains the entire understanding and undertaking by me in respect of the activities covered by this Release and the terms of this Release are contractual and not a mere recital and that Deep Dive Dubai is entitled to rely on this Release for its benefit. I confirm that I am of lawful age and legally competent to sign this Release. I understand that this Release can and will be used in court, and that agreements like this one have been upheld by courts in similar circumstances. I further agree that if any provision of this Release is found to be unenforceable or invalid, that provision shall be severed from this Release. The remainder of this Release will then be construed as though the unenforceable provision had never been contained herein.
     
  9. WAIVER OF CONTRACT DEFENSES
    I understand that this Release is a binding contract pursuant to which I have released any and all claims against Deep Dive Dubai resulting in any way from my participation in the activities covered by this Release, INCLUDING ANY CLAIMS CAUSED BY THE NEGLIGENCE OR CONTRIBUTORY NEGLIGENCE OF DEEP DIVE DUBAI, as set forth in this Release.
     
  10. CONTINUATION OF OBLIGATIONS
    I agree that the terms and conditions of this Release shall continue in full force and effect now and in the future at all times including (without limitation) during the period when I participate, either directly or indirectly, in the activities covered by this Release, and shall be binding upon myself, executors, administrators, personal representatives, and/or anyone else claiming on my behalf. This Release supersedes and replaces any prior agreement between the Release and myself.
     
  11. PHOTO & VIDEO RELEASE
    I hereby grant Deep Dive Dubai and its legal representatives and assigns (hereinafter collectively referred to as the “Photographer”), the irrevocable and unrestricted right to capture, film, photograph, use and publish photographs, images or audio-visual clips of me, or in which I may be included, with respect to my participation in the activities covered by this Release for editorial, trade, advertising and any other purpose and in any manner and medium and in any jurisdiction, to alter the same without restriction, and to copyright the same. This includes any and all uses that the Photographer deems are necessary or desirable. I agree that any photographs, images or audio-visual clips purchased by me from the Photographer are for personal use only and may not be used for commercial gain, and that I may request commercial licensing information from Deep Dive Dubai by contacting info@deepdivedubai.com if I wish to use any photographs, images or audio-visual clips for that purpose. I hereby hold harmless and release and forever discharge the Photographer from all claims, demands and liability relating to any such photographs, images or audio-visual clips of me.
     
  12. JURISDICTION
    I agree and accept that this Release, and any matter, claim, suit, litigation or legal proceeding arising under this Release (including its interpretation, validity and construction) shall be governed by and subject to the laws of Dubai (excluding DIFC Courts) and the applicable Federal laws of the United Arab Emirates (the “Laws”), and the Laws shall apply to issues involving the construction, interpretation and validity of the Release, and that the Laws shall govern any dispute arising from or related to this Release or the activities covered by this Release. Should this Release be violated and a suit be brought against Deep Dive Dubai, I hereby waive my right to a trial in any or all jurisdictions, including but not limited to the Courts of Dubai.
     

WITHOUT LIMITATION, I ACKNOWLEDGE AND AGREE THAT I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I MAY HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST DEEP DIVE DUBAI. IF ANY ATTEMPT FOR CLAIM IS MADE, I UNDERSTAND I WILL BE RESPONSIBLE FOR ALL DEFENSE COSTS INCURRED BY DEEP DIVE DUBAI.

With my signature below, I confirm that I have read the Release, been given the opportunity to review the terms and conditions, ask questions, considered its effects, understand its content, given true information, and agree fully to the terms as stated above.

 

MEDICAL STATEMENT
Participant record - confidential information

PLEASE READ CAREFULLY BEFORE SIGNING

This is a statement in which you are informed of some potential risks involved in scuba or freediving and of the conduct required of you during the scuba or freediving activity. Your signature on this statement is required for you to participate in the scuba or freediving activity offered by DEEP DIVE DUBAI. Read this statement prior to signing it. You must complete this Medical Statement, which includes the medical questionnaire section, to enroll in the scuba or freediving activity. If you are a minor, you must have this Statement signed by a parent or guardian.
Diving is an exciting and demanding activity. When performed correctly, applying correct techniques, it is relatively safe. When established safety procedures are not followed, however, there are increased risks.
To dive safely, you should not be extremely overweight or out of condition. Diving can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air spaces must be normal and healthy. A person with coronary disease, a current cold or congestion, epilepsy, a severe medical problem or who is under the influence of alcohol or drugs should not dive. If you have asthma, heart disease, other chronic medical conditions or you are taking medications on a regular basis, you should consult your doctor and the instructor before participating in this program, and on a regular basis thereafter upon completion. You will also learn from the instructor the important safety rules regarding breathing and equalization while diving. Improper use of dive equipment can result in serious injury. You must be thoroughly instructed in its use under direct supervision of a qualified instructor to use it safely.
If you have any additional questions regarding this Medical Statement or the Medical Questionnaire section, review them with your instructor before signing.

DIVERS MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to find out if you should be examined by your doctor before participating in diving activity. A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a preexisting condition that may affect your safety while diving and you must seek the advice of your physician prior to engaging in dive activities.

Please answer the following questions on your past or present medical history with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba or freediving activities. Your instructor can supply you with an RSTC Medical Statement and Guidelines for a physical examination to take to your physician.

The information I have provided about my medical history is accurate to the best of my knowledge.
I agree to accept responsibility for omissions regarding my failure to disclose any existing or past health condition.

Today's Date: February 28, 2024 

First Participant's Name

First Name*

Middle Name

Last Name*

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Third Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Fourth Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Fifth Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Sixth Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Seventh Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Eighth Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Ninth Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Tenth Participant's Name

First Name*

Middle Name

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

Participant'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 information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Passport or ID Card Information

Passport or ID Card Number *

Issuing Country *
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

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

Please review the following medical questionnaire. These questions help determine your fitness to dive. It is important you review these carefully. If you answer "yes" to any of these questions please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires the form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving.

Have you ever had or do you currently have... 

1. Could you be pregnant, or are you attempting to become pregnant?

2. Are you presently taking prescription medications? (with the exception of birth control or anti-malarial)

3. Would you answer "yes" to one or more of the following conditions while also being over 45 years of age?

• currently smoke a pipe, cigars or cigarettes 

• have a high cholesterol level 

• have a family history of heart attack or stroke 

• are currently receiving medical care 

• high blood pressure 

• diabetes mellitus, even if controlled by diet alone

4. Experienced COVID-19 related hospitalization or symptoms that were prolonged or unresolved or fall into Group B or C as noted by DAN Europe?By answering "no" to this question you are confirming any infection was asymptomatic or very minor and fully resolved for at least 30 days and that you are at full exercise capability and without abnormalities


5. Asthma, or wheezing with breathing or exercise?

6. Frequent or severe attacks of hayfever or allergy?

7. Frequent colds, sinusitis or bronchitis?

8. Any form of lung disease?

9. Pneumothorax (collapsed lung)?

10. Other chest disease or chest surgery?

11. Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)?

12. Epilepsy, seizures, convulsions or take medications to prevent them?

13. Recurring complicated migraine headaches or take medications to prevent them?

14. Blackouts or fainting (full/partial loss of consciousness)?

15. Frequent or severe suffering from motion sickness (seasick, carsick, etc.)?

16. Dysentery or dehydration requiring medical intervention?

17. Any dive accidents or decompression sickness?

18. Reverse block, lung squeeze, any lung squeeze producing pink foam or pulmonary bleeding?

19. Inability to perform moderate exercise(example:walk 1.6km/one mile within 12 mins.)?

20. Head injury with loss of consciousness in the past five years?

21. Recurrent back problems, back or spinal surgery?

22. Diabetes?

23. Back, arm or leg problems following surgery, injury or fracture?

24. High blood pressure or take medicine to control blood pressure?

25. Heart disease or heart attack?

26. Angina, heart surgery or blood vessel surgery?

27. Sinus surgery?

28. Ear disease or surgery, hearing loss or problems with balance?

29. Recurrent ear problems?

30. Bleeding or other blood disorders?

31. Eye conditions such as severe myopia or retinal detachment?

32. Hernia?

33. Ulcers or ulcer surgery?

34. A colostomy or ileostomy?

35. Recreational drug use or treatment for, or alcoholism in the past five years?

36. Do you have any of the above conditions?*
No
Yes
37. Would you answer yes to any of the questions above?*
No
Yes

If you answer "yes" to any of the questions above please download our medical form from the terms and conditions section of our website or write info@deepdivedubai.com and ask for a medical release form. A "yes" response requires that form be taken to a medical doctor who will evaluate your condition and discuss your fitness for diving. 

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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