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Snorkelers &
Boat Passengers

Participant Registration Form

Guest Information

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ACUERDO DE LIBERACIÓN DE RESPONSABILIDAD Y ASUNCIÓN DE RIESGO

PADI SWIM, DISCOVER MERMAID, SKIN DIVER AND DISCOVER SNORKELING PROGRAMMES, COURSES, EXPERIENCES AND RELATED ACTIVITIES

Please read carefully before signing.

Non-Agency Disclosure and Acknowledgment Agreement

I understand and agree that the facility through which this program is offered, and its associated staff, are licensed to use various SAI and PADI Trademarks and to conduct SAI and PADI training, but are not agents, employees or franchisees of Starfish Aquatics Institute (“SAI”) or PADI. I further understand that these business activities are independent, and are neither owned nor operated by SAI nor PADI, and that while SAI establishes the standards for PADI Swim Programmes, and PADI establishes the standards for PADI snorkeling, skin diving and Discover Mermaid training, neither SAI nor PADI is responsible for, nor do they have the right to control, the operation of the facility’s business activities and the day-to-day conduct of its swim/snorkeling/skin diving or Discover Mermaid programmes/experiences and/or related activities. I further understand and agree on behalf of myself, my heirs and my estate that in the event of an injury or death during this programmes, neither I nor my estate shall seek to hold SAI or PADI liable for the actions, inactions or negligence of Rich Coast Diving and/or the instructors associated with its swimming/snorkeling/skin diving or Discover Mermaid programmes/courses/experiences and/or related activities.

Statement of Risk and Liability

This is a statement in which you are informed of the risks of swimming, snorkeling, skin diving and mermaid activities. The statement also sets out the circumstances in which you participate in the swimming, snorkeling, skin diving or Discover Mermaid programme/course/ experience and/or related activities 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

Swimming, snorkeling, skin diving and mermaid activities have inherent risks which may result in serious injury or death.

Swimming, snorkeling, skin diving and mermaid diving are physically strenuous activities resulting in physically-strenuous activities, and you will be exerting yourself, which could result in an injury resulting from heart attack, panic, hyperventilation, drowning or any other cause. You must advise truthfully and fully inform the dive professionals and the facility through which this programme is offered of your medical history. You must be in good health and have no physical condition that would prevent participation in this programme.

Acceptance of Risk

I understand and agree that neither my Guide(s) / Instructor(s) , nor the facility through which this programme is conducted, Rich Coast Diving, nor Starfish Aquatics Institute, Inc. nor PADI EMEA Ltd., nor PADI Americas, Inc., PADI Worldwide Corp. nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents or assigns accept any responsibility for any death, injury or other loss suffered by me to the extent that it results 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 Guide(s)/Instructor(s) conducting this programme, the facility through which this programme is offered, Rich Coast Diving, PADI EMEA Ltd., PADI Americas, Inc., PADI Worldwide Corp, and all parties referred to above, my participation in this programme 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.

Gracias por registrarte. ¡Esperamos llevarte a bucear!

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