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Home
About
Why Us?
Our Shop
Our Staff
Blog
Dive Trips
Punta Cana
Bayahibe
Excursions
Water Sports & Activities
Education
SSI
PADI
Waivers
Certified Diver Waiver
Dive Passenger and Snorkel Waiver
Pricing
Dive Pricing
Water Sports & Activities
Dive and Stay
Contact
Passenger Snorkeler Waiver
Name
*
First
Last
Email
*
Express Assumption of Risk Associated with Swimming, Snorkeling and Related Activities
I do herby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Swimming and Snorkeling. I fully understand that these risks can lead to severe injury and even loss of life. I understand that swimming and snorkeling activated may be conducted at a site that remote from competent medical assistance. Nevertheless I choose to proceed in the absence of competent medical assistance. Additionally, I understand that there are also risks associated with boat travel, Including, but not limited to the possible injury of loss of life as a result of a boat accident, as well as travel to and from swimming and snorkeling sites. Despite the potential hazards, that may arise from these activities, which could result in personal injury, loss of life, and property damage to me.
*
I agree to the above statement
I do not agree
Release of Liability, Waiver of Claims and Indemnity Agreement
In consideration of being allowed to participate in Swimming and Snorkeling activities as well as the use of the facilities and the use of the equipment of the below listed releases, I hereby agree as follows: 1. TO WAIVE AND RELEASE ANY AND ALL CLAIMS based upon negligence, active or passive, with the exception of intentional, wanton of willful misconduct that I may have in the future against any of the following named persons or entities ( hereafter referred to as Releases):
Scuba Dive Dominican Inc. and its instructor's and Staff
*
I agree to the above statement
I do not agree
2. To release the releases, their officers, directors, employees, representatives, agents and volunteers, from liability and responsibility, whatsoever, for any claims or causes of action that I, my estate, heirs, executors, or assigns may have , for personal injury, property damage, or wrongful death, arising from Swimming and Snorkeling activities, whether caused by active or passive negligence of the releases. Or otherwise. By executing this document, I agree to hold the releases harmless for any injury of loss of life which may occur to me during Swimming and Snorkeling activities.
*
I agree to the above statement
I do not agree
3. By entering into this agreement, I am not relying on any oral or written representation or statements made by the releases, other than what is set forth in this agreement.
*
I agree to the above statement
I do not agree
4. If any provision of this release is found to be unenforceable or invalid, that provision shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable provision had never been contained in this document. I hereby declare that I am of legal age and am competent to sign this Agreement, or if not, that my parent or legal guardian shall sign on my behalf, and that my parent of legal guardian is in complete understanding and concurrence with this agreement.
*
I agree to the above statement
I do not agree
I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, I AGREE TO BE BOUND BY IT.
*
I agree to the above statement
I do not agree
Signature
*
Date
*
Date Format: MM slash DD slash YYYY
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