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Divers Supply Minor Release 

Outdoor Adventures Unlimited Inc., Charlie Marketing Inc., Divers Supply Inc., DBA Divers Supply 


Guardian Release 

The undersigned, being the parent, guardian or person having the care and custody of Below Named Minor does hereby consent that Below Named Minor may take the SDI/NAUI/PADI Scuba Course or participate in the diving activities, travel and instruction of scuba diving, and in consideration of Divers Supply, permitting Below Named Minor to so participate, does hereby covenant and agree not to sue Divers Supply or any of their agents or instructors for any claim which may arise out of the aforementioned activity, and does further agree to indemnify and hold for any claim which may arise out of the aforementioned activity, and does further agree to indemnify and hold harmless the said Divers Supply from any claim which Below Named Minor may claim from the aforementioned activity.

 Emergency Treatment Consent

I affirm I am the Parent and/ or legal guardian of Below Named Minor. As the parent/guardian, I hereby Authorize Divers Supply’s Staff or Instructor and/or its agents, employees or assigns, to seek medical treatment for Below Named Minor as a result of any accident or illness while under the supervision of Divers Supply’s Staff or Instructor.  I authorize treatment of Below Named Minor, by a qualified and licensed physician in the event of a medical emergency which, in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment or undue discomfort it delayed. 


International Training

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN

Who should fill out this Addendum and when should it be used:

1. The Natural Guardian of any minor (under 18 years of age) at the start of a training course or supervised activity under the: Scuba Diving International, Technical Diving International, or First Response Training International brands.

2. The Natural Guardian of a minor (under 18 years of age) participant in a training course or supervised activity taking place in the state of Florida. 3. This Addendum does not replace the applicable liability release form but is to be used in conjunction with.

4. This Addendum must be completed, in conjunction with the applicable liability release form, prior to the start of any training or supervised activity involving a minor in the state of Florida.

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. 

YOU ARE AGREEING THAT, EVEN IF (name of released party or parties) Outdoor Adventures Unlimited Inc, Charlie Marketing Inc, Divers Supply Inc and Divers Supply USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER 

FROM (name of released party or parties)Outdoor Adventures Unlimited Inc, Charlie Marketing Inc, Divers Supply Inc and Divers Supply

IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. 

YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND (name of released party or parties) Outdoor Adventures Unlimited Inc, Charlie Marketing Inc, Divers Supply Inc and Divers Supply HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

By my signature, I release all claims that both they and I have. No alterations, changes, omissions or revisions may be made.


Today's Date: May 8, 2024



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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Specific medical allergies, medicine being taken or other conditions physician should be aware of (if none, please write none).

Medical Insurance Company:

Policy Number:
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Specific medical allergies, medicine being taken or other conditions physician should be aware of (if none, please write none).

Medical Insurance Company:

Policy Number:
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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