NAUI Waiver

RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

 

EXPRESS ASSUMPTION OF RISK ASSOCIATED WITH DIVING AND RELATED ACTIVITIES

 

I, [PARTICIPANT NAMES], do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Snorkeling, Skin and/or Scuba diving. I fully understand that these risks can lead to severe in jury and even loss of life. I understand that diving operations may be conducted at a site that is remote from a recompression chamber and competent medical assistance. Nevertheless, I choose to proceed even in the absence of a recompression chamber and competent medical assistance. Additionally, I understand that there are also risks associated with dive travel, including, but not limited to the possible in jury or loss of life as a result of a dive boat accident, as well as travel to and from dive sites. Despite the potential hazards and dangers associated with the activity of diving, I wish to proceed, and I freely accept and expressly assume all risk, dangers and hazards that may arise from diving activities which could result in personal injury, loss of life and property damage to me.

I have read the above statement and understand:

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RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT:

  1. To WAIVE AND RELEASE ANY AND ALL CLAIMS based upon negligence, active or passive with the exception of intentional, wanton, or willful misconduct that I may have in the future against any of the following named persons or entities (hereafter referred to as Releasees): National Association of Underwater Instructors (NAUI):
    • Instructor(s): Any designated Instructor, Assistant Instructor, Dive Master or training assistants or volunteer from Scuba Connection
    • Faculty(ies): Scuba Connection, ADR Scuba
    • Other(s): Garfield YMCA
  1. To release the releasees, their officers, directors, employees, representatives, agents, 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 Snorkeling, Skin and/ or Scuba diving activities whether caused by active or passive negligence of the releasees or otherwise with the exception of gross negligence. By executing this document, I agree to hold the releasees harmless for any injury or loss of life which may occur to me during Snorkeling. Skin and/or Scuba diving activities and/ or instruction.
  2. By entering into this agreement, I am not relying on any oral or written representation or statements made by the releasees, other than what is set forth in this agreement. I further agree that this Agreement shall be governed by and interpreted in accordance with the laws of the State of California, United States of America.
  3. If any provision, section, subsection, clause, or phrase of this release is found unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

I have read the above statement and understand:

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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 OR LEGAL GUARDIAN IS IN COMPLETE UNDERSTANDING AND CONCURRENCE WITH THIS AGREEMENT

I have read the above statement and understand:

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I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, I AGREE TO BE BOUND BY IT,

Sign Here03/29/2024

 

Additional Signature only required if the Participant is a minor.

Signature of a parent or guardian if the participant is a minor, and by their signature they, on my behalf release all claims that both they and I have.

Sign Here03/29/2024

 

 

Who will be participating?

Adult  Children

Signee Information

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