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5390 NE 180th Ave

Williston, Fl 32696

352-528-3344

diveshop@devilsden.com

Please read carefu/Jy, if any questians arise, ask them befare sígning, fil/ in, and initia/ each paragraph befare signíng at the battam.

I, hereby affirm that I have been trained, advised and thoroughly informed of the inherent hazards of scuba-diving activities, including, but not limited to the information which I have read set out below.

I state that I am of lawful age (eighteen years of age) and legally competent to sign this liability release, or that I have acquired the written, notarized consent of my parent or guardian.



I understand that diving with compressed air, oxygen enriched air (nitrox), supplied by standard open circuit scuba, involves certain inherent risks including decompression sickness, embolism, oxygen toxicity, or other barotrauma/hyper baric injuries can occur that might require treatment in a recompression chamber.


1 further understand and agree that neither my instructor(s) or the facility known as Devil's Den L.L.C. nor the landowner O.O Diving lnc. nor any of their respective employees, officers, directors, stockholders, agents, successors in interest, or assigns, nor the authors of any texts or tables expressly used for training and certification, (all of whom referred to above they are herein below designated as "released parties") may not be held liable or assigns, result of the negligence of any party, including the negligence of the released parties themselves whether passive or active. 


1 further agree to save, defend, indemnify and hold harmless said released parties or instructors from any claim or lawsuit by me, anyone purporting to act on my behalf, my family, estate, heirs or assigns, arising directly or indirectly out of my enrollment and participation in a class or scuba-diving activity.  


1 also understand that scuba diving activities are physically strenuous and that I will be exerting myself during this activity, and that if I am injured as a result of heart attack, panic, hyper ventilation, oxygen toxicity, drowning, etc. 1 expressly assume the risk of such injuries and I will not attempt to claim, to hold the above-identified released parties responsible for the same; and I agree to defend, indemnify and hold harmless said scuba diving, courses, and released parties for any such injuries incurred by me.



1 also understand that any non-diving activities such as swimming, camping, hiking, volleyball, yard games, etc. can or could result in injury and I hereby personally assume ali risks for any harm, injury or damage that may occur while I am at Devil's Den L.L.C. resort or on the premises of O.O. Diving lnc..


lf the facility takes or is presented with a picture of me I authorize the facility to use it for whatever purpose they see fit, including marketing and promotional efforts.


1 understand that these terms of this waiver, release, and express assumption of risk are contractual and nota mere recital and that I have signed this document of my own free will.



1 further understand and agree that in the event that one or more of the provisions of the waiver and release, for any reason, is held by a court of competent jurisdiction to be invalid or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provision hereof; and this waiver and release shall be constructed as if such invalid, illegal or unenforceable provision or provisions hereof had never been contained herein. 



lt is my intention by this instrument to waive, discharge and release the released parties, as well as my instructor(s) (as defined above) from any and all liability or responsibly whatsoever for any personal injury, property damage, wrongful death, or other loss, however caused, or that may result from directly or indirectly, the negligence of the released parties themselves, whether passive or active. 


1 understand that there is the possibility of falling rocks dueto a natural geological formation. 



1 have fully informed myself of the contents of this waiver, release, and express assumption of risk by reading it carefully befare signing it on behalf of myself and my heirs. 



CAUTION, Please read waiver in its entirety befare signing.

 May 9, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
Parent or Guardian's Email Address

Email*

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

Emergency Contact's Relation to Participant
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
1 further state that I am either:
Already qualified and certified scuba diver from the following training agency:

Agency

and that I hold the level of:

l am aware of the required certification level and/or experience necessary to be allowed to dive at said site or in said course.

OR: A click here SCUBA student under the instruction of the following:

from the following agency training agency or shop I understand that I may be required to rent or furnish my own equipment and that I am responsible for its operating condition and maintenance.
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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