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4 DAY & 3 NIGHT FREEDIVING TRIP

LIABILITY RELEASE AND ASSUMPTION OF RISK

I, PARTICIPANT, HEREBY DECLARE THAT I UNDERSTAND THAT FREEDIVING IS AN INHERENTLY RISKY ACTIVITY THAT MAY RESULT IN SERIOUS BODILY INJURY OR DEATH. I KNOWINGLY AND FREELY ACCEPT AND ASSUME ALL RESPONSIBILITY FOR MY PARTICIPATION IN FREEDIVING WITH INSTRUCTOR.

In consideration of INSTRUCTOR allowing me to participate in freediving activities in connection with PROSAIL QUEENSLAND PTY LTD. (“PROSAIL”), I hereby fully release and discharge from responsibility INSTRUCTOR and PROSAIL, and their respective officers, directors, agents, contractors and any other individuals connected to or acting on behalf of them (including, without limitation, volunteers and other participants)(collectively the “Released Parties”) from any and all liability, claims, losses or damages related to my participation in any freediving activity (whether such activity is in connection with PROSAIL or otherwise), including, without limitation, liability, claims, losses or damages resulting from the negligence of any party, including the Released Parties. I agree that if I, or anyone on my behalf, make any claim or demand against any Released Party in connection with my participation in any freediving activity, I will indemnify and hold harmless each such Released party from any loss, liability, damage or cost incurred as result of such claim or demand.

I declare that I am in good mental and proper physical condition to participate in freediving. I am not under the influence of alcohol or any drugs that are contraindicatory to freediving. I know of no reason why I cannot or should not freedive.

I am legally competent to sign this liability release. I understand the terms herein are contractual and not a mere recital, and that I have signed this document of my own free will and with the knowledge that I hereby agree to waive my legal rights. I further agree that if any provision of this Liability Release and Assumption of Risk is found to be unenforceable or invalid that provision shall be severed and the remainder of this document will then be construed as though the unenforceable provision was not contained herein. 

Today's Date: April 24, 2024


STINGER SUIT WAIVER 

Definitions: "Operator" in this Waiver means and refers to the company Prosail QLD Pty Ltd. 

 I do hereby acknowledge that: 

  1. I have been advised of the risk for being stung by marine stingers. 
  2. I have been advised to wear a Stinger suit (or full length wetsuit) for my own protection. 
  3. It is in my own free will and desire, that I do not wish to wear a Stinger suit, and I, therefore, put myself at risk during the next three or four days. I do so at my own risk and I accept full responsibility for any injury. 
  4. I am fully aware that should I be stung by a marine stinger, I am hereby releasing the crew and the operator of Prosail QLD Pty Ltd of any liability arising from any action taken in treating my injury. I am fully aware that there is no qualified medical staff on the vessel and it may take considerable time to organise either transport to a hospital or to organise a doctor to attend to my injury. 
  5. Agree to indemnify and otherwise hold harmless, the operator, its directors, servants or agents from all and any courses of action, whether for damages, compensation or any other orders whatsoever, whether at common law, in equity, under statute or otherwise however and whatsoever, whether arising from the negligence and / or breach of contract on the part of the operator, its directors, officers, servants or agents.

Prosail QLD Pty Ltd hereby accepts the benefits clause (ii) above in all respects and hereby accepts the promises made by the participant therein. 

Yes, I accept these Safety Terms

April 24, 2024



ASSUMPTION AND ACKNOWLEDGEMENT OF RISKS AND RELEASE OF LIABILITY AGREEMENT 

In consideration of being allowed to participate in water sport events and activities and/or provided with water sport recreation property or services for myself, and my /our heirs, personal representative or assigns. 

I acknowledge that some, but not all, of the risk of participating in the water sport activity include: (1) changing water flow, tides, currents, wave action, and ship’s wakes; (2) collision with any of the following: other participants, the watercraft, other watercraft and man-made or natural objects; (3) wind shear, inclement weather, lightning, variances and extremes of wind, weather and temperatures ; (4) my sense of balance, physical coordination, ability to operate equipment, swim and/or follow direction; (5) collision, capsizing, sinking or other hazard which results in wetness, injury, exposure to the elements, hypothermia, impact of the body upon the water, injection of water into my body orifices and/or drowning; (6) the presence of insects and marine life forms; (7) equipment failure or operator error: (8) heat or sun related injuries or illness, including sunburn, sun stroke or dehydration; (9) fatigue, chill and/or dizziness which may diminish my/our reaction time and increase the risk of accident. 

I agree to assume responsibility for all risk of the activity, whether identified above or not, (even those risk arising out of negligence of Prosail QLD Pty Ltd). My/our participation in this activity is purely voluntary. I assume full responsibility for myself, for any bodily injury, illness, paralysis, death, loss of property and the expenses thereof as a result of any accident which may occur while I/we participate in the activity (even if caused, in whole or in part by the negligence of Prosail QLD Pty Ltd). I agree to wear Aust Standard personal floatation device (life jacket) if required while participating in the activity or riding any watercraft. 

I hereby release Prosail QLD Pty Ltd, its principals, directors, officers, agents, employees and volunteers, their insurers and each and every land owner, municipal and /or governmental agency upon whose property an activity is conducted (“owner”) and their insurers, if any, (Collectively releases) from any and all liability of any nature for any and all injury or damage (including death) to me or other persons as a result of my/our participation in the activity, even if caused by negligence, of any of the releasees named above or any other person (including myself). 

I have read this assumption and acknowledgement of risk and release of liability agreement. I understand that by signing this document I am waiving valuable legal rights, including any and all I may have against the owner, the operator named above or their employees, agents, servants or assigns. 

I authorise Prosail Qld Pty Ltd to supply my personal information to Medical Authorities and Police in the event of an unforeseen accident. I understand that the Skipper of the vessel will do his/her best to visit the major icons of the Whitsundays. The itinerary may change based on professional judgement, guest comfort and safety. 

I understand that Prosail QLD Pty Ltd is not a common carrier and accepts no liability for loss, damage or injury to any passenger, personal effects or luggage. 

I give Authority to Prosail QLD Pty Ltd to use any photographs taken by Crew for promotional material. 

April 24, 2024

MASTERS VESSEL SAFETY BRIEFING

When engaging the passengers for the safety brief ensure a proper head count is conducted and that all passengers are present. Begin the brief by ensuring that everyone can understand English and can hear your voice clearly. Make every effort to keep passengers engaged for the entire brief.

 

DECK LAYOUT:  Give an outline of where the safe areas are on the deck and point out any hazards for guests to be aware of (main sheet line, blocks, pinch points, tripping hazards). Outline areas of the vessel where passengers are and are not permitted during sailing or motoring operations (no passengers forward of the mast structure whilst sailing, areas to avoid whilst moving around the vessel).

 

SLIPS TRIPS AND FALLS: Explain the general nature of a maxi yachts deck being uneven with hazards to be aware of the avoid slips trips and falls. Identify areas of the vessel which are of most concern and point them out (raised areas for deck hardware, stepping points leading into companionways, hatches, lines, blocks, seating). Crew to refer SMS regarding regular discussion and management of slips, trips and falls.

 

MOVING AROUND THE DECK: Ensure that the guests are informed to keep their body weight as close to the deck as possible (no shame in crawling) and to utilize the lifelines. “One hand for you – one hand for the boat”. Ensure guests do not sit on the lifelines. No moving around the deck whilst under sail, ask a crew member if you need to move.

 

MUSTER STATIONS: In the event of one of these incidents occurring, the crew will call a muster. “MUSTER, MUSTER MUSTER” Point out the location of these muster stations and the importance of moving to one upon hearing the call. Passengers are to stay within the muster point until instructed otherwise whilst crew deal with the incident

 

LIFEJACKETS: Demonstrate how to don a lifejacket and explain the situations in which life jackets will be issued. Describe where jackets are stored, crew will issue them in the event of an emergency

 

EMERGENCY EXITS: Point out emergency exits on deck and below deck. Explain the process of deploying emergency exit ladders if necessary.

 

FLOATATION DEVICES: In the event of an emergency/abandon ship crew will deploy life rafts, Life rings, Eskys, and tender. Point out the location of floatation devices on board the vessel.

 

ABANDON SHIP: only the master can give the command to abandon ship. In the event of master incapacitated it will be the most senior deckhand. Only once that command is given are you to leave the vessel. Crew will guide and assist in this process. Take a big step off the vessel. Hold life jacket whilst doing so to prevent life jacket from slipping/injuring. Crew will guide passengers to life rafts/Tender.

 

MAN OVERBOARD: In the event on a man overboard, the crew must be made immediately aware by the call “MAN OVERBOARD” Passengers can assist by pointing at the MOB and keeping their eyes on that person, this must be maintained until the person is retrieved . Life rings and life lines can be deployed by passengers, throw the ring close to the person not at them. Crew safely retrieve the MOB

 

FIRES AND SMOKING: Fires are serious on a boat! In the event of starting, discovering fire or seeing/smelling smoke, crew must be immediately informed and the alarm raised. Please do not fight the fire yourself. Smoking permitted only on deck in the designated area (Point out area). Absolutely no cigarette butts are to go overboard, please use ashtrays (Point out location). 

 

COLLISIONS:  In the event that our vessel collides with another vessel, a marine hazard or the ground all passengers must listen to crews instructions. Gather in the muster station upon hearing the MUSTER command where life jackets will be fitted and a head count conducted. The master will guide on how to proceed further.

 

THE BOOM:  Warn guests to be always aware of the boom. Ensure that guests are aware of any maneuvers under sail that will involve the boom moving or the guests moving past the boom (ie: tacking, gybing, sail hoists) Main reason to avoid moving around the boat when under sail.

 

ROPES: Ensure that guests do not hold on to any lines when moving around the boat, they are highly loaded and could cause serious injury.

 

COMPANIONWAY/HATCHES: companionway must be used like a ladder to prevent slips and falls. Be wary of open Hatches and companionways when moving around the boat to prevent falling injuries. 

 

SAIL HOISTING: Explain what happens when we go sailing. When hoisting occurs, all guest will be instructed to sit along the high side (have a crew member demonstrate this physically) of the boat behind the mast where they must remain. Make sure that all guests are aware of what procedure is about to occur, not to touch any winches, ropes, stays whilst under sail.

 

HIGH SIDE:   The high side of the boat is the safe side whilst sailing! Make sure that the guests know the dangers of falling objects and ropes under pressure on the low side. Its perfectly normal for the boat to tilt at an angle and safe, its what they were designed for. All valuable items should be stowed below deck during sailing to prevent damage.

 

ALCOHOL / DRUGS:  This vessel is BYO alcohol, and we want everyone to have an awesome time. There will be plenty of opportunities to enjoy a drink whilst on board. We encourage the responsible consumption of alcohol on our tours. Over intoxication or inappropriate behaviour towards other guests and/or crew will not be tolerated and may result in removal from our tour. Drugs are not acceptable or tolerated on our tours. Anyone caught with illegal drugs will be handed over to the appropriate authorities.

RUBBISH:     Respect the marine park! Please crush all rubbish before placing it in bins provided, We like to condense it as much as possible. NO rubbish is to go overboard at anytime. Be wary of loose items on the deck as these can be blown away by unexpected gusts of wind. Tidy up after yourself.

 

SUNBURN:   Make passengers aware of the danger of the sun in Queensland. Recommend factor 30 every hour on all body parts especially back of neck, ears and tops of feet. Also beware of windburn and reflection of sun off the water. Warn passengers that UV rays are twice as strong in cloudy conditions.

 

PLAN: Where were going, what we’re going to see and how long it will take to get there under sail/Motor. Let the guests know that you will keep them updated with the upcoming activities and that we will do our best to make them feel comfortable and safe at all times. ?

 

I agree that I have read and understood the Masters Vessel Safety Briefing


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.

Parental or Guardian’s Consent (required if PARTICIPANT is under 18 years of age). The undersigned, as the legal parent or guardian of PARTICIPANT, hereby grants permission to PARTICIPANT to participate in freediving activities in connection with the PROSAIL. The undersigned further agrees to all terms of this Liability Release and Assumption of Risk on behalf of PARTICIPANT and to indemnify and hold harmless the Released Parties from any liabilities incident to PARTICIPANT’s involvement or participation in such activities.



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 Information
Gender
Female
Male
Non-binary/non-conforming
Prefer not to respond
Transgender

Home Country
Dietary requirements
No Dietary Requirement
Vegetarian (no fish)
Vegetarian (fish ok)
Vegan
Don't eat fish
Lactose Intolerant
Gluten free
Coeliac
Other - please explain below

Other

Emergency contact person (do not list anyone who is on this trip with you)

Emergency contact persons phone number
If you would like us to provide a snorkel suit/wetsuit for you, please let us know your size. **Please note, if you are bringing along your own, you will need a full length suit to help protect you from marine stingers
No thanks, I will be bringing along my own
XS
S
M
L
XL
XXL
Where did you hear about us?
Social media
Prosail Website
Brochure
Booking website
Accommodation / Concierge
Return customer
Travel agent
Referal
Walked past
Other

Other
I would also be interested in
Spearfishing trips
Photography Workshop Retreats
Yoga retreats
Our 3 day/2 night Whitsunday Islands tours
Our 4 day/3 night Whitsunday Island and outer reef tours
None of the above

MEDICAL QUESTIONNAIRE

The purpose of this Medical Questionnaire is to determine if you should be examined by your doctor before participating in freedive activities. A positive (i.e. “YES”) response to a question does not necessarily disqualify you from freediving. A positive response means that there is a pre-existing condition that may affect your safety while freediving and you MUST seek the advice of a physician prior to engaging in freedive activities. You must provide a signed form from the physician to say that they find no medical conditions incompatible with freediving if any “YES” box is ticked.

Please answer the following questions about your past and present medical history by ticking the box marked YES or NO. If you are not sure, answer YES. 

Neurological Conditions: Especially any history of seizure disorder, stroke, brain surgery, repeated black outs or fainting fits, severe migraine headaches, or aneurysm of the brain’s blood vessels. *
No
Yes
Cardiovascular Conditions: Especially heart attack, heart surgery, irregular heartbeat, uncontrolled elevated blood pressure. *
No
Yes
Pulmonary Conditions: Especially a history of spontaneous collapsed lung, collapsed lung due to injury, cysts or air pockets of the lungs, severe damage to lung tissue, emphysema, or any lung problem which interferes with your ability to breathe *
No
Yes
Ear Conditions: Permanent holes of the eardrums, history of ruptured eardrum, permanent tubes in eardrums, severely impaired hearing or hearing loss in one or both ears, or major ear surgery. *
No
Yes
Sinus Conditions: Tumor, polyps, or cyst of the sinus cavities or nasal passages, major sinus surgery, or persistent sinus infection. *
No
Yes
Asthma: History of asthma or asthma attacks. Any history of wheezing caused by exercise, anxiety, cold, fatigue, etc. Any condition requiring medication and/or use of an inhaler for control of wheezing. *
No
Yes
Diabetes Mellitus: Especially Type I Diabetes (Insulin dependent) or Type II Diabetes, which requires insulin or oral medication for control. Any form of Diabetes that is unstable, “brittle” or produces episodes of hypoglycemia (low blood sugar reactions), hyperglycemia (extremely high blood sugar with ketosis) or if there is related kidney disease, eye disease, heart disease or blood vessel disease.*
No
Yes
Pregnancy: If you are presently pregnant or planning to be pregnant. *
No
Yes
Freediving / Scuba Diving Conditions: Previous history of a diving accident, decompression sickness, decompression of the inner ear of air.*
No
Yes
Medication: Any medication taken on a regular basis either over-the-counter or prescribed by a physician. *
No
Yes
General Medical Problems: Any physical and/or emotional condition not mentioned that might affect your safety in an underwater environment or affect your judgment under times of physical or emotional stress. *
No
Yes
A positive test for Covid-19 anytime in your past, especially if the infection was associated with any symptoms, or if you currently suffer from symptoms generally associated with a Covid-19 infection.*
No
Yes

I, certify that I have answered the above questions accurately and honestly. I also declare that I will be freediving within the levels of my experience, competence and training with a competent buddy at all times.

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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