RRFB Liability Release and Assumption of Risk Agreement; Name, Likeness, Photography Release

RRFB Liability Release and Assumption of Risk Agreement; Name, Likeness, Photography Release
Please complete this form to the best of your ability. You must be 18 years or older to fill it out on your own. If you are under 18, a parent or legal guardian must complete and sign the form on your behalf.
Demographic Information
Participant Name*

First NameLast Name
Email*
example@example.com
Date of Birth*

MonthDayYear
You must be 18 years or older at the time of signing this form. If not, a guardian is required.
Which category do you belong to?*
Please select 'Local Volunteer' only if you have a Sedula and live on the island year-round. Otherwise, choose the option that best describes you.
Phone Number*
Please include your country's cellular code (e.g., +599)
Are you acting as guardian by signing for a minor?*
Must be 18 years or older at the time of filling this form out in order to be considered a legal guardian.
Please enter the full name of the minor for whom you are acting as guardian:*

First NameLast Name
Please enter the guardian’s full name:*

First NameLast Name
Which RRFB activities would you like to be eligible to participate in? (Select all that apply)

Wet ActivitiesDry ActivitiesRemote Activities
Snorkel Tour
Unfortunately you cannot select 'Snorkel Tour' AND one of the three activities above due to issues with Jotform submissions.

You will not be able to submit your form until this is fixed.

If you have not already scheduled a snorkel tour with our team, but are interested in scheduling one in the near future, then please reach out to volunteering@reefrenewalbonaire.org; this form is not meant to be used for scheduling snorkel tours or any other form of activity.
Is your STINAPA Nature Fee paid for and/or valid?*

I hereby confirm I have paid the STINAPA Nature Fee and further certify it is valid. I acknowledge I am responsible for the consequences of not having a valid nature fee paid.I currently have a valid Bonairean Sedula.
SCUBA Information
If you are not participating in SCUBA-related RRFB activities, please fill out each question with 'NA'.
Certifying dive agency:*
If you're unsure, please choose 'Other' and write your response in the text field below.
Highest SCUBA certification:*
If you're unsure, please choose 'Other' and write your response in the text field below.
Please specify your certifying dive agency:*
Please specify your highest SCUBA certification:*
SCUBA certification number:
(Certification numbers linked to professional SCUBA certifications only)
Approximate number of dives:*
(e.g., 100)
Which dive shop certified you for your Reef Renewal Foundation Distinctive Specialty?*
Other:*
Please fill in who certified you for your RR Distinctive Specialty in the text box above.
Emergency Contact Information
Emergency contact:*
Terms of Agreement & Liability Acknowledgment
I acknowledge and agree to the Terms of Agreement and Liability Release.
**If you are participating in SCUBA-related activities, please wait to be redirected to a second form after clicking 'Submit'**
For questions or concerns, please email volunteering@reefrenewalbonaire.org
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RRFB Liability Release and Assumption of Risk Agreement; Name, Likeness, Photography Release

Demographic Information

SCUBA Information

Emergency Contact Information

Terms of Agreement & Liability Acknowledgment

**If you are participating in SCUBA-related activities, please wait to be redirected to a second form after clicking 'Submit'**

If you are participating in SCUBA-related activities, please wait to be redirected to a second form after clicking 'Submit'