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BOX B - I AM OVER 45 YEARS OF AGE, AND:
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If you answered NO to all 10 questions above, a medical evaluation is not required. Please read and agree to the participant statement below by signing and dating it. *If you answered YES to questions 3, 5 or 10 above OR to any of the questions in Boxes A, B, C, D, E, F or G, please read and agree to the statement below by signing and dating it, AND - Go to our website at www.pearlfleet.org, scroll down to the Footer section
- Download a copy of the Diver's Medical Questionnaire Form under "Downloads"
- Take all three pages of the form (Diver's Questionnaire and the Physician's Evaluation Form) to your physician for a medical evaluation.
Participation in a diving course requires your physician's approval.
Participant Statement: I have answered all questions honestly, and understand that I accept responsibility for any consequences resulting from any questions I may have answered inaccurately or for my failure to disclose any existing or past health conditions.
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