Snorkel Trip / Passenger Complete Liability Release Form
ADVERTISEMENT
1CAPTAIN SLATE’S DIVE CENTER, INC./DIVE PROFESSIONALS, INC./CAPTAIN SLATE'S SCUBA
ADVENTURES /CAPTAIN SLATE'S ATLANTIS DIVE CENTER
SNORKEL TRIP / PASSENGER COMPLETE LIABILITY RELEASE
1. I UNDERSTAND THAT THERE ARE INHERENT RISKS INVOLVED WITH SNORKELING AND BOATING, including but
not limited to equipment failure, perils of the sea, acts of other participants, adverse sea and weather conditions
and I HEREBY ASSUME SUCH RISKS.
2. I UNDERSTAND THAT I HAVE A DUTY TO EXERCISE REASONABLE CARE FOR MY OWN SAFETY AND I AGREE TO DO
SO.
3. I assert that I am physically fit to snorkel and ride on a boat and I will not hold CAPTAIN SLATE’S DIVE
CENTER, INC./DIVE PROFESSIONALS, INC./CAPTAIN SLATE'S SCUBA ADVENTURES/CAPTAIN SLATE'S ATLANTIS
DIVE CENTER or its employees, agents, or other associated personnel responsible if I am injured as a result of ANY
problems (medical, accidental, or otherwise) which occur while snorkeling riding on the boat, or otherwise
participating in the trip.
4. I will not remove my snorkel vest (buoyancy control device or B.C.) at any time while in the water. I
acknowledge that doing so will constitute a violation of safety rules and procedures for which I expressly assume
the risk.
5. If I become distressed at the surface, I will immediately inflate my snorkel vest for floatation and signal for
assistance.
6. I fully understand that the involved boat has limited medical facilities and that in the event of illness or injury
appropriate medical care must be summoned by radio and treatment will be delayed until I can be transported to
a proper medical facility. I agree in advance to these conditions.
7. The participating dive store and/or boat have made no representation to me implied or otherwise that they or
their crew can or will perform safe rescues or render first aid. In the event I show signs of distress or call for aid, I
would like assistance and will not hold CAPTAIN SLATE’S DIVE CENTER, INC./DIVE PROFESSIONALS, INC./CAPTAIN
SLATE'S SCUBA ADVENTURES/ CAPTAIN SLATE'S ATLANTIS DIVE CENTER, its crew, dive boats or passengers
responsible for their actions in attempting the performance or rescue or first aid.
8. I agree to forever discharge and release hold CAPTAIN SLATE’S DIVE CENTER, INC./DIVE PROFESSIONALS,
INC./CAPTAIN SLATE'S SCUBA ADVENTURES/ CAPTAIN SLATE'S ATLANTIS DIVE CENTER, its employees and
agents, the owners of the boats, and their employees and agents, from any and all responsibility or liability for any
and all injuries or damages. I agree NOT to make a claim against or sue any of the above parties for injuries or
damages, whether they arise from any NEGLIGENCE or other liability. I further specifically agree, on behalf of
myself, my heirs and assigns, to indemnify and hold harmless the released parties for any and all causes of action
arising as a consequence of any incidents which might occur as a consequence of my participation in any
snorkeling activities with or involving the released parties.
9.I hereby grant Frazier Nivens, Ocean Imaging the absolute & irrevocable right to publish any form of imaging by
them taken at Capt. Slates Scuba Adventures for any purpose whatsoever without restriction. My signature on this
release form grants use of my image.
I HAVE READ THIS AGREEMENT, UNDERSTAND IT, AND AGREE TO BE BOUND BY IT, FROM THE
DATE OF MY SIGNATURE, FOREVER INTO THE FUTURE.
INDIVIDUALS UNDER AGE 18 MUST HAVE PARENT’S SIGNATURE
Signature: _______________________________Date: _____________
Print Name: _____________________________
Parent Signature (if under 18): _________________________
Home Address:____________________________________
City, State, Zip: _____________________________________
Home Phone #: _________________________
Email Address: __________________________
Group Name:___________________________ Local Accommodations: _______________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal