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I


hereby confirm that I have been advised and informed of the inherent hazards and dangers of skin diving, snorkeling and scuba diving.


1. Further, I understand that diving with compressed air involves certain inherent risks such as decompression sickness (DCS), embolism, and other hyperbaric injuries can occur that require treatment in a recompression chamber. I further understand that the open-water diving trips, which are necessary for training and for certification,may be conducted at a site that is remote, either by time and/or distance, from such a recompression chamber. I choose to proceed with such instructional dives in spite of the possible absence of a recompression chamber in proximity to the dive site.

2. I understand and agree that neither GO PRO CAYMAN LTD, T/A GO PRO DIVING,T/A SEASPORTS, and their affiliates, subsidiaries, officers, directors, employees and/or agents (hereinafter referred to as “Releasees”) maybe held liable/responsible in any way for any injury, death, or other damages to me, my family, heirs or assigns that may occur as a result of my participation in scuba diving, scuba diving training, snorkeling and/or skin diving as a result of the negligence of any party, including the Releasees.

3. In consideration of being allowed to engage in this activity, I hereby personally assume all risks in connection with said activity, for any harm, injury or damage that may befall me while I am participating in this activity,including all risks connected therewith, whether foreseen or unforeseen.

4. I further indemnify and hold harmless the Releasees from any claim or lawsuit, my family, estate,heirs, or assigns,or any third party may bring arisingout of my participation in the said activity.

5. I understand that skin diving, snorkeling and scuba diving are physically strenuous activities and that I will be exerting myself during this activity, and that if I am injured as a result of a heart attack, panic, hyperventilation, etc., that I expressly assume the risk of said injuries and that I will not hold the Releasees responsible for the same.

6. I state that I am of lawful age and legally competent to sign this release and indemnity. I am the parent or legal guardian of the Customer and in that capacity I give the assurances herein on the Customer’s behalf and provide this Release and Indemnity in the name of and on behalf of the Customer.

7. I understand that the terms herein are contractual and not a mere recital, and that I have agreed to this document as my own free act understanding its terms and effect.


IT IS THE INTENTION OF THE SIGNOR BY THIS INSTRUMENT TO EXEMPT AND RELEASE GO PRO CAYMAN LTD AND ALL RELATED ENTITIES AS DEFINED ABOVE, FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH HOWEVER CAUSED, INCLUDING, BUT NOT LIMITED TO, THE NEGLIGENCE OF THE RELEASED PARTIES. THIS WAIVER IS IN EFFECT IN PERPETUITY UNTIL WITHDRAWN IN WRITING.

First Participant's Name

First Name*

Last Name*

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

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Certification Information
Are you diving?*
No
Yes
Certifying Agency
Certification Level *

Certification 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*

Last Name*

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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