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Cylinder Fill

 

Complete Liability Release and Covenant Not to Sue

READ CAREFULLY BEFORE SIGNING

In consideration for being permitted to purchase a scuba compressed gas cylinder and or fill a high pressure gas cylinder for use (hereinafter "cylinder") from Diventures, I hereby expressly and contractually promise and agree as follows:

1. The cylinder will never be used by me for scuba diving.

2. I will never allow the cylinder to be used for diving by anyone else.

3. I agree to have all tests, inspections, and routine maintenance performed on the cylinder in accordance with the manufacturer's specifications and industry (CGA) standards.

I understand and am aware of the inherent dangers associated with the use of compressed air/gasses and specifically assume those risks.  I expressly release Diventures, its employees, owners and agents, for any and all liability arising as a consequence of any and all personal injury, property damage or wrongful death caused by or associated with the use of the cylinder, on behalf of myself and my heirs.

I expressly agree to indemnify and hold harmless Diventures, its employees, owners and agents, for any personal injury, property damage or wrongful death to myself or to others as a consequence of the use of the cylinder.

I understand the purpose of signing this release is to give up all rights to sue Diventures, its employees, owners and agents, and that this document constitutes a legally binding contract.  This document is to be interpreted as broadly as possible, rather than narrowly construed, in the event of a legal dispute.

I have read and understand the foregoing in its entirety and agree to the terms and conditions hereinabove set forth on behalf of myself, my heirs and my personal representative.  I have had an opportunity to ask questions regarding this document prior to signing same.

Today's date:  August 14, 2022

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First Participant's Name

First Name*

Last Name*

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

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Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Location
Select Your Diventures Facility*
Additionally, as the parent/guardian of the above named participant, I have read this document in its entirety prior to affixing my signature hereto. I have represented to Releasees that I have authority to sign this document on behalf of my minor child (the participant), myself and the other parent/guardian of said child. I agree, on behalf of myself, the other parent/guardian, and my minor child to be bound to all the terms and conditions of this Agreement. I understand all terms of this document, understand that I have given up and will continue to give up substantial rights by signing it, am aware of the document’s legal consequences, and have signed this document freely, voluntarily, and without any inducement, assurance or guarantee being made to me. I intend my signature to be a complete and unconditional release of all liability on behalf of myself, the other parent, and the participant to the greatest extent allowed by law and further agree to indemnify and hold harmless the above named Releasees from any and all liability and causes of action arising from the activities and actions described herein. I understand the risks of injury while swimming, scuba diving and/or snorkeling, and have had the opportunity to personally witness and fully discuss the activities or instructional program with a staff member prior to commencement of my minor child’s swimming, scuba diving and/or snorkeling activities.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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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