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Dive Travel/Charter Assumption of all risk and release of liability

Columbia Scuba - Soda City Divers LLC 2701 Alpine Road Columbia SC 29223 803.788.9166 info@ColumbiaScubaSC.com

PLEASE READ CAREFULLY AND FILL IN ALL BLANKS BEFORE SIGNING

I, hereby affirm that I am a certified diver or a student diver under the control and supervision of a certified scuba instructor, and that I thoroughly understand the HAZARDS AND RISKS of scuba diving and dive travel. I understand that these HAZARDS AND RISKS include, but are not limited to, air expansion injuries, drowning, decompression sickness, slipping or falling while on board a boat, being cut or struck by a boat while in the water, injuries occurring while getting on or off a boat, getting lost at sea, other perils of the sea, and other perils of travel on land, air or sea. By signing this release, I certify that I am fully aware of and EXPRESSLY ASSUME THESE AND OTHER RISKS involved in making such a dive or dives, whether conducted as a recreational dive or part of a diving class.

I understand and agree that neither Soda City Divers LLC, any travel agency, charter service, nor PADI, Inc., nor the owners, officers, employees, agents, or affiliates of the above listed individuals and/or entities (hereinafter, "released parties") may be held liable or responsible in any way for any occurrence on this dive trip/charter which may result in personal injury, property damage, wrongful death, and/or other injury, loss or damage to me or my family, personal representative(s) or heirs that may occur as a result of my participation in this dive travel/charter trip. This includes actions taken by minor children not chaperoned by a parent or guardian on the trip.

I further state that I am of lawful age and legally competent to sign this liability release, or my guardian is signing this document on my behalf.

I, by this instrument do hereby KNOWINGLY AND VOLUNTARILY RELEASE the released parties FROM ALL LIABILITY and responsibility for personal injury, property damage, wrongful death and/or other injury, loss or damage, however caused, including but not limited to, product liability or the negligence of the released parties, whether passive or active.  

I acknowledge that I have read the foregoing paragraphs, fully understand the potential dangers incident to engaging in this dive travel/charter trip, am fully aware of the legal consequences of signing this document, understand and agree that this document is legally binding and will preclude me, my family, personal representative(s) and heirs, from recovering monetary damages from the released parties. If any provision hereof should be unenforceable, I understand and agree that the remaining provisions shall nevertheless be enforced.

November 5, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Additional Information

Dive History:

Certification Level:
Agency:
Cert #:
Total Dives:
Deepest Depth:
Least Visibility:
Last Dive:

Medical Problems/Allergies:

Local Accommodations:


Travel Destination:

Hotel:
Room:
Phone:
I understand that Dive Accident and Travel Insurance is not included in the trip fees, and that insurance is highly recommended.
I have/will purchase Dive Accident and Travel Insurance
I Decline Insurance
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:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
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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