Booking
Booking Form
Registration Details
Person 1 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 2 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 3 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 4 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 5 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 6 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 7 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 8 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 9 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 10 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 11 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 12 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 13 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 14 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 15 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 16 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 17 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 18 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 19 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 20 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 21 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 22 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 23 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 24 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
Person 25 Registration Details
Diver Registration

Name & Signature
Diver's Details
Emergency Contact
General Training
Please read carefully before signing
Non-Agency Disclosure and Acknowledgment Agreement
I understand and agree that PADI Members (“Members”), including _____________ and/or any individual PADI Instructors and Divemasters associated with the program in which I am participating, are licensed to use various PADI Trademarks and to conduct PADI training, but are not agents, employees or franchisees of PADI EMEA Ltd., PADI America, Inc., or its parent, subsidiary and affiliated corporations (“PADI”). I further understand that Member business activities are independent, and are neither owned nor operated by PADI, and that while PADI establishes the standards for PADI diver training programs, it is not responsible for, nor does it have the right to control, the operation of the Members’ business activities and the day-to-day conduct of PADI programs and supervision of divers by the Members or their associated staff.
Statement of Risk and Liability
This is a statement in which you are informed of the risks of skin and scuba diving. The statement also sets out the circumstances in which you participate in the diving program at your own risk.
Your signature on this statement is required as proof that you have received and read this statement. It is important that you read the contents of this statement before signing it. If you do not understand anything contained in this statement, then please discuss it with your instructor. If you are a minor, this form must also be signed by a parent or guardian.
Warning
Skin and scuba diving have inherent risks which may result in serious injury or death.
Diving with compressed air involves certain inherent risks; decompression sickness, embolism or other hyperbaric injury can occur that require treatment in a recompression chamber. Open water diving trips that are necessary for training and for certification, may be conducted at a site that is remote, either by time or distance or both, from such a recompression chamber. Skin and scuba diving are physically strenuous activities and you will be exerting yourself during this diving program. You must advise truthfully and fully inform the dive professionals and the facility through which this program is offered of your medical history.
Acceptance of Risk
I understand and agree that neither the dive professionals conducting this program, _______________, nor the facility through which this program is conducted, _____________, nor PADI EMEA Ltd., nor PADI Americas, Inc. nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns accept any responsibility for any death, injury or other loss suffered by me to the extend that it result from my own conduct or any matter or condition under my control that amounts to my own contributory negligence.
In the absence of any negligence or other breach of duty by the dive professionals conducting this program, ___________, the facility through which this program is offered, ______________, PADI EMEA Ltd., PADI Americas, Inc. and parties referred to above, my participation in this diving program is entirely at my own risk.
I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKNOWLEDGMENT AGREEMENT AND STATEMENT OF RISK AND LIABILITY BY READING BOTH BEFORE SIGNING THESE STATEMENTS.