CruiseFishDive Liability Waiver

Full Name*

First NameLast Name

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Trip Date*

Date

Hour MinutesAM/PM Option

Return time*

Hour Minutes

AM/PM Option

Choose Trip Type

Payment amount for my trip or tour.*

USDTrip Amount

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Date Signed (Please Enter Todays Date)*

Terms and conditions. By checking the box I agree to all the conditions in this agreement.*

By signing this waiver either electronically or in person, I acknowledge that I have read and agree to the policies set forth in this agreement. If for any reason other than stated in this agreement I must cancel my scheduled trip or tentative trip, I agree to pay all fees, deposits or rebooking fee’s as listed below for the services requested. Any correspondences via email regarding trip types and lengths can and will be used as receipt of services requested for billing purposes. I also agree that I have received all services that were agreed upon and I am satisfied with the services received.For a full refund, cancellation must be made within a minimum of 7 days in advance to your departure date. Deposits will not be refunded if cancellations are made within 7 days or less. If we receive your cancellation within 72 hours prior to departing you will be charged the full amount of the trip charge. If you must cancel and can't give proper notice, we will try to reschedule your charter for another date. The only exception will be due to severe weather, which will be the Companies and or Captain’s decision on the day of the scheduled departure. At that time your trip will be rescheduled or a refund will be issued if it is deemed unsafe.I understand the purpose of signing this document is to exempt and release Cruise Fish Dive Inc., Reel 1 Up Fish & Dive Charters, Mark Garcy, the vessels Reel 1 Up, Spear 1 Up, Reel1In, their owners, employees, crew, contractors, agents, sponsors, volunteers, advertisers, it’s dive boats, whether chartered, leased, or owned and to hold these entities and individuals (THE “RELEASED PARTIES”) harmless from any and all liabilities arising as a result of any acts or omissions on their part, including, but not limited to, active or passive negligence or negligence of any type.I recognize and acknowledge that there are certain risks of physical injury and property and I agree to assume the full risk of any injuries, including loss of life, personal injuries, property damages, and expenses, which I may sustain as a result of participating in any and all activities connected with (THE “RELEASED PARTIES”) or any services or activities associated with our companies.I further agree to waive and relinquish all claims to fully release, discharge, indemnify, hold harmless and defend (THE “RELEASED PARTIES”) from any and all claims resulting from injuries, including loss of life, personal injuries, property damages, and expenses, sustained by me or my minors and arising out of, connected with, or in any way associated with the activities or trips. The participant assumes all risks associated with participation at our facility or on any of our vessels, equipment or tours. (THE “RELEASED PARTIES”) assumes no liability for injury or damages arising from participation in our services. Due to the strenuous nature of some activities, the participant, or if the participant is a child, the child’s parent or guardian is encouraged to consult his or her physician concerning the participant’s level of fitness in relation to participation in any offered services.

Mandatory For Confirmation*

I accept the above payment terms and waive all possible claims of liability.I understand upon submitting this form if there is a refund issued for any reason a 5% processing fee will be deducted from the total.

I agree to the above terms and conditions and authorize the payment amount selected above. Please sign here.*