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New Student

Policy

and

Waivers

This document is several documents in one. 

Please read, agree to policies, and initial in each section:

Student Policy, Swimming Ability, Pool Release

After submitting your form, you receive an email that you will have to verify.

If you are a parent/guardian of the participant, please use your initials and signature.

___________________________________________________________

Into The Blue Scuba, LLC Student Policy

Section 1 - Student Agreement

 I understand that training courses are non-refundable.

I Agree

I understand that I have 1 year from my registration date to complete my training course.

I Agree
 

I understand that I must satisfactorily complete all course requirements to receive certification.

I Agree

I will complete all required paperwork as specified by the instructor.

I Agree
 

I will complete the assigned learning requirements as specified by the instructor.

I Agree
 

I will complete all knowledge development work as specified by the instructor.

I Agree

I will bring a signed copy of the eLearning completion certificate (If applicable) to the instructor.

I Agree

I will follow all course procedures set forth by the instructor.

I Agree

I will follow all instructions and directions given by the instructor or the instructor’s assistants.

I Agree

I will ask questions if I do not understand.

I Agree

I will be on time and prepared for every training session.

I Agree

I understand that I cannot use any type of photography equipment during in water training.

I Agree

I understand that if I do anything deemed unsatisfactory or dangerous by the instructor or the instructor’s assistants, I will be removed from the training course and will not receive a refund.

I Agree

I will supply my own scuba quality personal equipment. (Mask, snorkel, fins, and boots) 

I Agree

I understand that I am supplied with SCUBA equipment (BCD, reg. set, cylinder, wetsuit, and gages) for training. I also understand that for the open water certification dives I will be responsible for picking up my supplied ITBS equipment to the dive shop the Thursday before by 4:30pm and returning it clean and dry the Tuesday after by 4:30pm. It is highly recommended that I purchase my own SCUBA equipment that I will be diving in after certification.

I Agree

I understand that if I already own personal equipment (Mask, snorkel, fins, boots), it must be inspected and approved by the instructor prior to use. I also understand that if the forementioned equipment has a malfunction or failure during training I will have to either rent equipment at an additional cost (If available) to continue or I will have to reschedule my training and rescheduling fees will apply.

I Agree

I understand that If I am participating in any dive course above open water diver the only equipment supplied are cylinders, air fills, and weights. I must provide all additional required equipment for the training course (Rental available). If I own equipment, it must be inspected and approved by the instructor prior to use. I also understand that if the forementioned equipment has a malfunction or failure during training I will have to either rent equipment at an additional cost (If available) to continue or I will have to reschedule my training and rescheduling fees will apply.

I Agree


Section 2 – Reschedules: (Confined & Open Water Training)

10 days from the date of scheduled training there will be a $100.00 rescheduling fee.

I Agree

7 days from the date of scheduled training there will be a $150.00 rescheduling fee.    

I Agree
  

48 hours from the date of scheduled training there will be a $200.00 rescheduling fee.    

I Agree
                                                            

24 hours from the date of scheduled training there will be a $250.00 rescheduling fee.   

I Agree
                                                          

Less than 24 hours from the start of scheduled training there will be a $300.00 rescheduling fee.  

I Agree

A no call no show on the day of training will be considered a cancellation from the training program and no refunds will be given.

I Agree
                                         

For a rescheduling to be valid it must be confirmed by an ITBS employee via phone (No voicemail, email, or texts) and rescheduling fees will be collected at the time of notification to reschedule. If payment of fees is not received at the time of notification to reschedule it will be considered a withdraw from the training program and no refunds will be given.

I Agree

Into The Blue Scuba, LLC understands that things do happen, and we are willing to consider reasonable unforeseen events. (Examples: Medical issue, Military deployment, Family death – Documentation will be required) However, the student must also understand that we have limited spots available in each training course and a no show causes us a lost opportunity to add another potential diver and revenue.

I Agree

I understand that Into The Blue Scuba or the instructor has the right to reschedule training courses due to weather or unforeseen events.

I Agree

I agree to the above terms.


___________________________________________________________

Swimming Ability Information

I know how to swim.

I Agree

I have been swimming before while using a mask, snorkel, and fins.*

I Agree

I have been swimming in the last 12 months.*

I Agree

I can perform a 300-yard (Non-stop) swim using a mask, snorkel, and fins.

I Agree

I can perform a 10-minute (Non-stop) water tread/float.

I Agree

I understand that my instructor may advise that I need training on swimming, swimming with a mask, snorkel, and fins or training on water treading/floating. If this is determined this must be completed before I can start my SCUBA course.

I Agree


*If you have not been swimming in the last 12 months or have never been swimming while using a mask, snorkel, and fins, please contact us to schedule a swim/water tread evaluation. (*Additional cost)


I agree to the above terms.


___________________________________________________________

Swimming Pool Liability Release

For good and valuable consideration, including but not limited to being allowed to participate in scuba diving/ swimming and/or utilize the swimming pool at Into The Blue Scuba, LLC. The receipt and sufficiency of such consideration is hereby acknowledged, the undersigned, on behalf of myself, my minor children identified below, my and their heirs, executors and assigns (hereinafter collectively referred to as the “Participant”), do hereby release and discharge Glenn E Mikos, Sandy S Mikos, and Into The Blue Scuba, LLC their shareholders, officers, employees, agents, legal representatives, successors and assigns (hereinafter the “Released Parties”) from any claims, demands, actions, or judgments of any kind related to my and/or my minor children’s participation in the scuba diving/ swimming program, use of the swimming pool, and access to the facility at Into The Blue Scuba, LLC. Such release and waiver shall be valid from the time of execution of this document until such time as I revoke this document in writing. Until such revocation, this release and waiver shall apply to any past, present, or subsequent event, whether known or unknown, without regard to the cause or causes thereof, or the negligence of gross negligence of any party including the Released Parties.

The Participant does hereby agree to indemnify and hold harmless the Released Parties from any and all liability, loss, damage, or expense, including reasonable attorney fees that they may incur as a result of any injury to person or property, claim, demand, or litigation arising out of Participants use of the swimming pool or participation in the scuba diving/swimming program. Such indemnification obligation shall accrue regardless of any negligence or gross negligence on the part of the Released Parties.

Participant hereby represents and warrants that he/she has the legal authority and capacity to execute this document; that the Participant has the mental capacity and physical fitness to engage in strenuous activity such as scuba diving/ swimming; and that Participant has familiarized themselves with the facility and the pool. It is expressly agreed that the Participant is undertaking participation in the scuba diving/ swimming program and/or use of the pool at his/her own risk. Parents acknowledge that they are solely responsible for the supervision and safety of their minor child.


THIS FORM MUST BE READ AND SIGNED PRIOR TO ENTERING THE POOL



Participant Signature

I have read all of the sections in this agreement, I understand it, and agree to be bound by it. If I am a parent or guardian of a minor participant, they, on my behalf, release all claims that they and I both have.

Participant or Parent/Guardian:







First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
Select Gender
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 Date of Birth*
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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