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Ray Scuba Diving, LLC – Trip Application & Waiver

Thank you for joining a Ray Scuba Diving group travel experience! This waiver outlines important terms and conditions regarding your participation. Please read each section carefully. Submission of this form and deposit confirms your understanding and agreement to the policies below.

Travel & Booking Policy

Each participant must submit a completed form and the appropriate non-refundable deposit to reserve a space on the trip. Ray Scuba Diving, LLC reserves the right to deny participation for any reason.

We strongly recommend all travelers obtain dive insurance and travel insurance to protect against unforeseen circumstances, including but not limited to trip interruptions, missed flights, canceled dives, illness, or injury. Ray Scuba assumes no financial liability for such events.

No refunds will be issued for unused portions of the trip—including but not limited to accommodations, transportation, boat dives, Nitrox, meals, or activities—regardless of the reason.

Medical Disclosure & Participant Responsibility

By submitting this form, you affirm that you are in good physical and mental health and that you have no medical conditions that would make travel or diving hazardous or pose an undue risk to yourself or others. You further affirm that you will disclose any such conditions that may require special attention or medication.

Examples of conditions requiring disclosure include, but are not limited to: asthma, heart conditions, diabetes, recent surgeries, epilepsy, anxiety disorders, or rare blood types.

Payment Schedule & Cancellation Policy

Trip payments are typically due as follows:

  • Deposit due at reservation (non-refundable)
  • 50% of remaining balance due 180 days before departure
  • Final balance due 90 days before departure

If payment is not received within 10 days of the due date, a 10% late fee will be applied. If payment remains unpaid for more than 21 days, your space will be released and all funds paid will be forfeited.

Cancellations:

  • More than 180 days from departure: refund of all payments made to date minus the deposit and a $400 processing fee
  • Within 180 days of departure: refund minus the deposit and $400 fee, ONLY if the trip is full and if you are able to resell your canceled space within the same parameters as the original booking.

Liveaboard Trip Cancellation Policy

Due to the special booking terms required by liveaboard operators:

  • Cancellations more than 12 months before departure will incur an additional 5% cancellation fee
  • Cancellations made 6 to 12 months before departure will incur an additional 10% cancellation fee

These fees apply in addition to the standard deposit and processing fee.

Ray Scuba may modify the payment or cancellation terms for a specific trip based on vendor requirements. Please refer to the trip-specific documentation for details.

Multiple Reservations & Roommate Policy

  • If you reserve multiple spots, you accept financial responsibility for each individual reservation, and each is subject to the cancellation and payment terms above.
  • If you do not sign up with a roommate, Ray Scuba will attempt to assign one. If no suitable roommate is available, you will be responsible for the single supplement fee.

Trip Modification & Substitution Policy

Ray Scuba reserves the right to alter or cancel parts of the trip due to weather, operational needs, or unforeseen circumstances. Substitution of facilities, vessels, or equipment may occur due to local conditions or availability.

No refunds will be issued for itinerary changes made for safety, weather, or logistical reasons.

Waiver of Liability

By participating in this program, you acknowledge and agree that:

  • Scuba diving, international travel, and water-based activities involve inherent risks, including but not limited to injury, drowning, travel delays, or death
  • You are trained and certified (or a supervised student) for the activities you engage in and will not dive outside your level of training
  • You assume full responsibility for your actions, safety, and any consequences thereof
  • You release Ray Scuba Diving, LLC—its owners, instructors, agents, and affiliates—from all liability for property damage, personal injury, illness, disability, or death, whether foreseeable or unforeseeable

Ray Scuba Diving, LLC is a registered Indiana Corporation and operates independently of hotels, dive shops, boat operators, airlines, and other third-party vendors. We are not liable for the acts, omissions, or equipment of those vendors.

Emergency Medical Consent

In the event of a medical emergency, you authorize Ray Scuba Diving, LLC and its representatives to initiate first aid, obtain emergency treatment, or arrange evacuation at your expense. You agree to hold Ray Scuba Diving, LLC harmless and to indemnify them for any such action taken on your behalf.

This waiver applies to you and extends to your spouse, family members, estate, legal representatives, heirs, and assigns.

Acknowledgment

By signing this waiver, you confirm that you have read, understood, and agreed to all terms presented above, and that all information you provide in the accompanying fields is accurate and complete to the best of your knowledge.

Fill out the waiver by scanning Your Driver's License

This scanner is designed as an optional onsite tool to streamline the waiver-signing process. If you are not at the business' location or prefer not to scan your license please skip this option and proceed below to fill out the waiver.

Click the button below to start scanning:

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First Participant's Name
First Name*
Last Name*
Phone*
By checking this box, you agree to receive text message updates from the business who owns this Smartwaiver form. Msg & data rates may apply. Msg frequency is recurring. Reply STOP to opt out.
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
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Third Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Fourth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Fifth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Sixth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Seventh Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Eighth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Ninth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Tenth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 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
Are you:*
If Diver, What is your highest certification, certification number, agency, and how many dives do you have? When Was your last dive?
Do you have any medical history, medical condition or medical impairment which would make traveling, diving or other underwater activities dangerous or hazardous or expose you to exceptional risk, or requires special attention or medication? *
Please Select
No
Yes
Full Legal Name *
Gender*
Date of Birth *
Passport Number *
Issued By *
Passport Expiration *
DIVE Insurance Agency and Policy # *
Email Address *
Emergency Contact and Phone Number *
Shirt Size?*
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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