Florida Blue Divers

Florida Blue Divers - Waiver

This waiver is valid for 72h
Diver Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
The diver is a minor ?*

NoYes
Recreational Certification Level*
When was your last dive*

Within one monthWithin one yearMore than 18monthsI have never dived
Number of logged dives*
Are you renting gear from us ? (Including tanks and weights)*

YesNo
Parent or Legal Guardian
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
LIABILITY RELEASE AND WAIVER FOR SCUBA DIVING
1. I understand that the purpose of signing this document is to exempt and release florida blue divers, llc (hereafter called "the dive center"), its employees, agents and dive boats, whether owned, operated, leased or chartered, and to hold these entities harmless from any and all liability arising as a consequence of any act or omission on their part including, but not limited to, active or passive negligence.

2. I am affirming that I am a certified scuba diver or a student diver under instruction by a certified scuba instructor. I have been taught and understand that scuba diving is a hazardous activity with inherent risks and dangers associated therewith, including, but not limited to, risks associated with equipment failures, perils of the sea and acts of fellow divers which could result in my serious injury or death. I expressly assume these risks. I assert that I am physically fit to participate in the sport of scuba diving, and 1 agree, by way of my signature, that 1 will not hold any of the above-named entities, individuals or persons responsible if I am injured while scuba diving, be it for medical reasons or other. I do not have in my possession any illegal drugs, nor am I taking or have I recently taken any drugs or medications which could cause an adverse reaction as a result of combining such drugs and/or medications with scuba diving. I also attest that I will not be under the influence of alcohol while scuba diving, that I will not possess alcohol while onboard the boat, and that I have been warned of the dangers of consuming alcohol prior to, during or after scuba diving.

3. Prior to leaving the dock/shore will inspect all of my equipment to be used...to include any rental equipment...and I will notify the dive center of any equipment which I find to not be functioning properly. I will not hold the dive center or any of its employees, agents or dive vessels responsible for my failure to inspect my equipment prior to diving. I am aware that the dive center is a PADI dive center, and that I may not dive without having an alternate air source and snorkel in my possession while diving.

4. I will be present and attentive to the safety briefings given by the dive master, mate and/or vessel captain. I understand that I have an affirmative duty to plan and carry out my own dive and to be responsible for my own safety. By way of my signature, I expressly agree that I will plan all my dives as no decompression dives, with a three minute safety stop at 15 feet prior to surfacing. I fully agree that I will start my ascent at the end of each dive with enough air to guarantee being on the vessel with at least 500 psi / 35 bar of air, and agree to a tank visual inspection (vip) charge of $10.00 should I return to the dive boat with less air than 500 psi / 35 bar. I further agree not to plan my dive to exceed the level for which I am trained (open water - 60'/18m, advanced open water - 130'/40m). I will immediately cease and abort my dive if I feel uncomfortable with my diving abilities, and/or diving conditions are worse than those for which I have been trained or for which I am comfortable.

5. i am fully aware and have been trained in the dangers, risks and hazards of holding my breath while diving on compressed air and/or enriched air (ean), and fully agree not to hold the above-named individuals, persons or entities responsible for any such act by me. In the eventuality that I become distressed at the surface, I will immediately inflate my buoyancy compensator, drop my weights, and signal the dive vessel of my need for assistance. I understand that if I require any assistance from the vessel, dive master or captain, I will give the proper "diver in trouble" signal. I understand that this dive trip may be conducted at a site or sites remote from a medical facility and recompression chamber... Nevertheless, I expressly wish to proceed with this trip.

6. by way of voluntarily checking this box and signing my initials in this section I agree and affirm to sign this release every 7 days I am participating in activities, and it is my express intention by way of my signature that I agree and understand that this entire document and each paragraph is in force from the date I sign it forward 365 days or 1 year.

7. I acknowledge that I am responsible for taking out my own diving insurance.

8. By way of my signature on this document, it is my express intention by execution of this instrument to give up my right to sue all individuals, persons or entities referred to herein, whether specifically named or not, and it is also my intention to exempt and relieve the florida blue divers dive center, its employees, agents and dive vessels (whether owned, operated, leased or chartered) from all liability arising as a consequence of any act or omission including, but not limited to, active or passive negligence. By way of my signature on this document, I fully agree to indemnify and hold the persons, individuals and entities named within this document harmless from any and all liability for personal injury of any sort, property damage or wrongful death by myself, heirs and assigneds, and I assume expressly all risks in connection with the activities of scuba diving.

9. By way of my signature, given voluntarily, I evidence that I have read fully and understand this document in its entirety, if I have any questions with respect to the contents of this document, I certify that I have fully informed myself before signing my name below.

I fully agree to the terms and conditions herein and realize they are given in exchange for the dive center, its employees, agents and dive vessels allowing me to participate in this activity. I understand this is a legally binding contract. It is my express intention by way of my signature that i agree and understand that this entire document and each paragraph is in force from the date i sign it forward 365 days or 1 year.
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
Signature (if minor, Parent or Legal Guardian)*

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LIABILITY RELEASE AND WAIVER FOR RENTAL EQUIPMENT
Please read carefully and fill in all blanks before signing.

THIS AGREEMENT is entered into between the renter (listed below) and Florida Blue Divers LLC, for the rental of scuba and/or skin diving equipment.

This AGREEMENT is a release of my rights and the rights of my heirs, assigns or beneficiaries to sue for injuries or death resulting from the rental and/or use of this equipment.

I personally assume all risks of skin and/or scuba diving, whether foreseen or unforeseen, related in any way to the rental and/or use of this equipment. Liability Release and Assumption of Risk Agreement I understand and agree that Florida Blue Divers LLC, and its employees, owners, officers, contractor, assigns or agents (hereinafter referred to as “Released Parties”), shall not be held liable or responsible in any way for any injury, death or other damages to me, my family, estate, heirs or assigns which may occur as a result of the rental and/or use of the equipment, or as a result of product defect, or the negligence of any party, including the Released Parties, whether passive or active. I hereby acknowledge receipt of the equipment designated in this form, and, if any of this equipment is to be used for scuba diving I affirm I am a certified scuba diver or student diver in a scuba diving course/program under the supervision of a certified scuba instructor. I affirm it is my responsibility to inspect all of the equipment and acknowledge it is in good working condition. I affirm that it is my responsibility to check both the quality and quantity of gas in any scuba tanks. I acknowledge that I should not dive if the equipment is not functioning properly. I will not hold the Released Parties responsible for my failure to inspect the equipment prior to diving or if I choose to dive with equipment that may not be functioning properly. I understand that skin diving and scuba diving are physically strenuous activities, that I will be exerting myself during these activities, and that if I am injured as a result of heart attack, panic, hyperventilation, drowning or any other cause, that I expressly assume the risk of said injuries and that I will not hold the Released Parties responsible for the same. I agree to reimburse the Dive Center/Resort for the loss or breakage of any and all equipment at the current replacement value and to also pay for damages incurred while transporting the equipment. I agree to return the equipment in clean condition and to pay a cleaning fee if not returned cleaned. I further state that I am of lawful age and legally competent to sign this liability release, or that I have acquired the written consent of my parent or guardian. I understand the terms herein are contractual and not a mere recital, and that I have signed this Agreement of my own free act and with the knowledge that I hereby agree to waive my legal rights. I further agree if any provision of this Agreement is found to be unenforceable or invalid, that provision shall be severed from this Agreement. The remainder of this Agreement will then be construed as though the unenforceable provision had never been contained herein. I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns, and beneficiaries may have to sue the Released Parties resulting from my death. I further represent I have the authority to do so and that my heirs, assigns, or beneficiaries will be estopped from claiming otherwise because of my representations to the Released Parties.

I UNDERSTAND, BY THIS INSTRUMENT AGREE TO EXEMPT AND RELEASE THE RELEASED PARTIES AND ALL RELATED ENTITIES AS DEFINED ABOVE, FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH AS A RESULT OF RENTING AND/OR USING THE EQUIPMENT, HOWEVER CAUSED, INCLUDING, BUT NOT LIMITED TO PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE. I HAVE FULLY INFORMED MYSELF AND MY HEIRS OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKNOWLEDGEMENT AGREEMENT AND LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT BY READING BOTH BEFORE SIGNING BELOW ON BEHALF OF MYSELF AND MY HEIRS.

I understand the importance and purposes of these established practices. I recognize they are for my own safety & well-being. Failure to adhere to them can place me in jeopardy during the activity.
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
Signature (if minor, Parent or Legal Guardian)*

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Florida Blue Divers - Waiver

Diver Information

Parent or Legal Guardian

Emergency Contact

LIABILITY RELEASE AND WAIVER FOR SCUBA DIVING

LIABILITY RELEASE AND WAIVER FOR RENTAL EQUIPMENT