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Scuba Divers Using Aquatic Facilities

ASSUMPTION OF RISK, LIABILITY RELEASE & HOLD HARMLESS AGREEMENT

This is a legal contract terminating your rights to file a lawsuit. Read carefully before signing.

By placing my name here, I agree to be responsible for the content of this page.

THERE IS NO LIFEGUARD ON DUTY – SCUBA DIVE AT YOUR OWN RISK!

Participating in unsupervised swimming activities such as a scuba diving in an aquatic facility is inherently dangerous. While participating in unsupervised scuba diving, snorkeling and swimming in the aquatic facility, (hereafter called “Activities”) I may be exposed to risks which may cause serious personal illness, injury or death. In consideration of being allowed to participate in unsupervised Activities I expressly assume all risks associated with the Activities. Risk of illness, injury or death may arise due to improper, insufficient, inoperable, or inadequate equipment among other things. I will be solely responsible for my health, safety, and actions at all times while participating in Activities. I will follow safe practices, maintain awareness and use good judgment set forth in the applicable SSI Responsible Code to reduce the risks, however, I know the risk of property loss, illness, injury and or death cannot be eliminated. I represent that I am a certified and competent scuba diver and swimmer. I am solely responsible to verify the function and adequacy of the equipment I use and to monitor my gas supply throughout my Activities. At no time will I attempt a skill or act that I am not certified to perform. At no time will I instruct others in scuba diving or allow non-certified divers to use my scuba equipment. In the event I choose to dive without a partner I understand and accept the increased risk and danger of solo diving. I understand the Activities will expose me to inherent risks including but not limited to; panic, drowning, decompression illness, overexpansion injuries, pressure related injuries, breathing gas toxicities, equipment failure, and dangerous acts of others. I UNDERSTAND THERE ARE RISKS OF PROPERTY LOSS, ILLNESS, INJURY AND DEATH EVEN WHEN DIVING IN THE SHALLOW DEPTHS OF AN AQUATIC FACILITY. I VOLUNTARILY CHOOSE TO PARTICIPATE IN THE ACTIVITIES AND ASSUME ALL RISKS ASSOCIATED WITH THE ACTIVITIES, WHETHER FORESEEN OR UNFORESEEN, AND WHETHER CREATED OR NOT BY THE RELEASED PARTIES OR NOT.

By signing this Agreement I am giving up the legal right to sue the aquatic facility its owners, officers and directors, employees, agents, operators, volunteers, instructors, counselors, or its insurance company, land owners, third parties or anyone else specifically named or unnamed (hereafter called “Released Parties”) as a result of my or anyone else’s injury or death as a result of my participation in the Activities. In consideration of being allowed to participate in Activities in the aforementioned aquatic facility, I hereby agree to give up my right to sue and I hereby release the Released Parties from any liability in connection with the Activities, including but not limited to property damage, illness, injury, or death caused to me or any others due to negligence caused by someone doing something they should not have done or caused by someone not doing something they should have or any other cause including negligence on the part of the Released Parties. I hereby give up these legal rights on behalf of myself, my estate, my family, heirs, assigns or any other party that may have a legal claim against the Released Parties.

By signing this document, I hereby waive all claims and legal rights of mine, my family, heirs, assigns or any other party who may have a claim against the Released Parties as a result of my participation in the Activities. Furthermore, I agree to indemnify the Released Parties from any responsibility or liability for any loss, costs, attorneys’ fees, liabilities, damages, illness, injury or death arising from my participation in the Activities. It is my specific intent, by signing this document, that I will not present a claim, cause of action, lawsuit or otherwise for any damage, illness, injury or death caused to me or any other party including minor children for whom I may have a legal right in connection with any Activity associated with the Released Parties. In the event I violate this Agreement I agree to be held responsible and liable for all damages, expenses, fees and costs associated with the Released Parties defending and or paying claims brought on my behalf. In the event I cause the Released Parties damage or expense associated with my participation in the Activities, I agree on behalf of myself, my heirs and my estate to be responsible and liable for same and will agree to pay as if fully adjudicated by a competent legal court. 

I understand and agree the SSI licenses training centers, professionals and their affiliates to use various SSI trademarks and to conduct SSI approved training, but they are not agents, employees or franchisees of SSI, its parent, subsidiary, or affiliated corporations. I further understand SSI training centers, SSI professionals, and their affiliates’ businesses are independent, and are neither owned, operated, or controlled by SSI, and that while SSI establishes standards and materials for SSI training, it is not responsible for, nor does it have the right to control, the operation of the business activities or the day-to-day training and or supervision of Participants by SSI training centers, SSI professionals, their affiliated businesses, and/or their associated staff. I further understand and agree on behalf of myself, that in the event of injury, illness or death during the Activities, I shall not hold SSI liable for the actions, inactions or negligence of the SSI training center, SSI professionals and other affiliated businesses or personnel associated with my participation in the Activities.

This Agreement is a legally binding contract. By signing it I am agreeing to all of its terms and conditions and representing that I have read and understand it thoroughly before signing it. I have signed this Agreement voluntarily and of my own free act. I agree to all of the terms, conditions and provisions of this contract without modification from its preprinted form. Furthermore, I agree that if any provision of this document is found to be void or unlawful that the remainder of the Agreement shall remain in full force and effect. By signing this document, I affirm that I have read, understand, and agree to be legally bound by all of the provisions of this Agreement. 


RU4Scuba LLC HOLD HARMLESS AGREEMENT

This Agreement is made the day of August 8, 2026 by and between diver, an individual residing at the address below, hereinafter referred to as “Diver”, and Livingston Associates, Inc., a New York corporation with an office for business at 80 West River Road, Scottsville, New York 14546, hereinafter referred to as “LA."

WHERES Diver desires to use LA property located at 80 West River Road, Scottsville, NY 14546 (“the Property”) for scuba diving activities; and

WHEREAS, in exchange for LA making the Property available to Diver for such purposes, Diver will defend, indemnify and hold harmless LA, its employees, agents, directors and officers from and against any and all claims or causes of action of whatever kind or nature, including any fines, penalties or expenses, arising out of Diver’s use of the Property pursuant to this Agreement.

NOW THEREFORE, in consideration of the mutual covenants exchanged, the parties agree as follows:

  1. Diver will defend, indemnify and hold harmless LA in connection with Diver’s use of the Property pursuant to this Agreement. Such duty to defend, indemnify and hold harmless shall apply regardless of the theory of liability, and shall include personal injury, property damage, and/or death.
  2. Diver shall be responsible for any damage to Property caused by his/her use of the Property.
  3. Diver warrants that s/he has the legal capacity to execute and be bound by this Agreement.
  4. No supplement, modification or amendment of this Agreement shall be binding unless executed in writing and signed by both parties.
  5. No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege or service voluntarily given or performed by a party hereto shall give the other party any contractual right by custom, estopple or otherwise.
  6. This Agreement contains the entire understanding between the parties hereto related to the matter specified herein and supersedes any prior oral or written statements or agreements between the parties related to such matters.
  7. If any provision of this Agreement is held invalid or unenforceable for any reason, the remaining provisions shall continue to be valid and enforceable.
  8. This Agreement shall be governed exclusively by the laws of the State of New York.
  9. Any lawsuit or legal proceeding arising out of or relating to this Agreement in any way whatsoever shall be exclusively brought in the State of New York, County of Livingston. Each of the parties hereto waives its right to a trial by jury.
  10. The duration of this Agreement shall be from the date of execution until December 31, 2026.
  11. This Agreement may be terminated by either party, with or without cause, by providing thirty (30) days written notice to the other party.

DIVER Signature:

Date: August 8, 2026

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First Participant's Name
First Name*
Last Name*
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 Information
Certification Agency
Certification No.
First Participant's Signature*
Second Participant's Name
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Last Name*
Participant's Date of Birth*
Date of Birth
Information
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Third Participant's Name
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Participant's Date of Birth*
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Fourth Participant's Name
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Last Name*
Participant's Date of Birth*
Date of Birth
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Fifth Participant's Name
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Last Name*
Participant's Date of Birth*
Date of Birth
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Sixth Participant's Name
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Participant's Date of Birth*
Date of Birth
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Seventh Participant's Name
First Name*
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Participant's Date of Birth*
Date of Birth
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Eighth Participant's Name
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Participant's Date of Birth*
Date of Birth
Information
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Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Certification Agency
Certification No.
Tenth Participant's Name
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Participant's Date of Birth*
Date of Birth
Information
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Certification No.
Parent or Guardian's Email Address
Email*
Confirm Email*
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Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
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:*
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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.

Youth under age 18 (minors) are not permitted to scuba diving in the aquatic facility without being under the direct supervision of a certified and insured scuba professional. The parent or guardian must sign the SSI Youth Addendum and agree to be legally responsible for the minor participant, including being responsible for all damage, illness, injury or death which may occur as a result of the minor’s participation in the Activities. The parent or guardian hereby agrees to be fully responsible to the Released Parties for any damage, illness, injury or death caused by the minor, including actions brought by the minor, for any damages whatsoever. 



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*
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 Information
Certification Agency
Certification No.
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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