Participant Information Form
NAUI Waiver
Medical Questionnaire

Participant Information Form

Registering for Open Water Scuba (Pool Sessions) - 10/07/2022 6:00 PM-8:30 PM Change

Who will be participating?

Adult  Children

Signee Information

EMERGENCY CONTACT

Experience

1 being beginner 5 being expert







Select all that apply

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.