Volunteer Diver Application 
  • Volunteer Diver Application

    Thank you for your interest in volunteering with the AnuBlue (a.k.a. Elkhorn Marine Conservancy)! Please check that you meet all of our requirements, then complete the information below and we will get back to you to arrange a dive day. 
  • Please check that you meet all of our requirements, then complete the information below and we will get back to you to arrange a dive day.

    VOLUNTEER DIVER REQUIREMENTS:

    • 18 years of age or older
    • Open Water SCUBA certification (or higher)
    • Completion of at least 30 open water dives, with last dive at least 6 months prior
    • Proof of diver's insurance
    • Properly maintained and regularly serviced dive gear and/or regular personal inspection of any gear borrowed from AnuBlue (formerly EMC)
  • Date of birth:
     - -
  • What is your dive certification level?*
  • Do you have your own dive gear? If so, which of the following do you have?*
  • Which best describes your association with Antigua & Barbuda?
  • Would you like to receive the quarterly AnuBlue (formerly EMC) newsletter?
  • Scuba Diving, Snorkeling and Boat Passenger Assumption of Risk and Complete Release of Liability Waiver

    I hereby execute this Assumption of Risk and Complete Release of Liability Waiver ("Release"), in favor of the Elkhorn Marine Conservancy, Inc., (a.k.a AnuBlue Ocean Restoration) its directors, officers, employees, agents, representatives, other contractors (the "Released Parties"), and associated personnel in connection with my participation in swimming, scuba diving, snorkeling and/or riding on vessels owned and or operated/chartered by the Released Parties (the "Activity"). I enter into this Release freely, voluntarily and without duress and agree to the following:

    1. I understand that there are inherent risks (foreseen or unforeseen) involved with the Activity, included but not limited to: equipment failure, perils of the sea, harm caused by marine creatures (including bites and stings), acts and omissions by fellow contractors or participants, entering and exiting the water, travel in a foreign country, diseases, disability, differing local customs and legal requirements, damage to property, death, drowning, boarding or disembarking boats, and activities on the docks and I hereby assume all such risks associated with the Activity.

    2. I understand that the Released Parties are not responsible for my safety and knowingly and voluntarily agree to assume any and all risks associated with participation in the above-described Activities. I also acknowledge that my participation in the Activities is optional and that my participation would not have been permitted without this Release.

    3. I hearty provide written release of liability and assumption of risk which acknowledges that some dive sites are remote, that a recompression chamber may not be readily available, and that I still want to dive and assume the risk in the possible absence of a recompression chamber;

    4. To the maximum extent permitted by law, I release the Released Parties and anyone participating in the Activities, or their heirs or estates, in their official and individual capacities from, and agree not to sue the Released Parties for, any and all claims and causes of action for loss of or damage to property, bodily or personal injury, loss of companionship or support, or death sustained by me or third parties arising out of any activity or travel associated with my participation in the Activities.

    5. I agree to defend, indemnify and hold harmless the Released Parties for any and all losses, expenses, claims, judgments and liabilities (including attorneys’ fees) ("Losses") of any nature arising out of, or in consequence of my acts, words, conduct, etc. in connection with the Activities including, damage to property, any injuries or death sustained by any person(s) as a result of my actions or inactivity, any injuries or death or damage to property arising from my acts, words or conduct while participating in the Activities. I further understand that nothing stated herein shall relieve me from my obligation to uphold and support all rules and regulations for participation in the Activities, as set forth by the Released Parties.

    6. In satisfaction of the requirement to provide a medical history form, I hereby certify that I am in good health, have no physical conditions that affect my ability to participate in any of the Activities, and have not been advised otherwise by a medical practitioner. The Released Parties are in no way responsible for any accident or health costs or medical care.

    7. I understand that I am solely responsible for any medical costs and expenses incurred as a result of any Losses sustained by my participation in the Activities.

    8. Regardless of any scuba diving, snorkeling or boating certification(s) that I may have, I make no representations and warranties as to my expertise in the Activity and acknowledge and agree that I have a duty to exercise a reasonable degree of care throughout the duration of my participation in the Activity. I further agree to strictly comply with all rules, procedures and directives given to me, communicated to me or provided to me at any time by the Released Parties throughout the duration of my participation in the Activity.

    9. I grant to the Released Parties the full authority to take whatever action it deems is warranted under the circumstances regarding my health or safety in connection with my participation in the Activities, including the provision of any emergency first aid, medication, medical treatment, or surgery deemed necessary by medical personnel. This authority will permit the Released Parties, at its discretion, to place me, at my own expense, in a local hospital for medical services and treatment, or, if no hospital is available, to place me in the hands of a local medical doctor for treatment. I also authorize medical personnel to execute any documents relating to medical attention and to act on my behalf, if I am unable to do so. I agree that the Released Parties shall not be responsible for any injury, damage, or expense that might arise out of or in connection with emergency medical treatment obtained on my behalf.

    10. I understand and agree that during the course of my participation in the Activities, I may be photographed and/or videotaped by the Released Parties for internal and/or promotional use. I hereby grant and convey to the Released Parties all right, title, and interest, including but not limited to, any royalties, proceeds, or other benefits, in any and all such photographs or recordings, and consent to the Released Parties' use of my name, image, likeness, and voice in perpetuity, in any medium or format, for any publicity without further compensation or permission.

    11. I represent that my agreement to the provisions herein is wholly voluntary, and further understand that, prior to signing this Release, I have the right to consult with an Attorney or such third parties of my choosing as I may deem appropriate.

    12. This waiver and release is a legally binding agreement and will be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. Any provisions found to be void or unenforceable shall not affect the validity or enforceability of any other provisions herein.

    13. I have carefully read this Release in its entirety, fully understand its contents, and agree to the terms and conditions of this Release on behalf of myself, my heirs, and my personal representatives. This document constitutes the final and entire agreement between Released Parties and the undersigned. There are no representations or warranties expressed or implied, which extend beyond what is described in this Release. This is a complete release of liability and a legally binding contract.

    I understand that this Release is effective for one day of the scheduled dive. 

  • Diver Medical | Participant Questionnaire

    Recreational scuba diving and freediving requires good physical and mental health. There are a few medical conditions which can be hazardous while diving, listed below. Those who have, or are predisposed to, any of these conditions, should be evaluated by a physician.

    This Diver Medical Participant Questionnaire provides a basis to determine if you should seek out that evaluation. If you have any concerns about your diving fitness not represented on this form, consult with your physician before diving.

    If you are feeling ill, avoid diving. If you think you may have a contagious disease, protect yourself and others by not participating in dive training and/or dive activities.

    References to “diving” on this form encompass both recreational scuba diving and freediving.

    For your safety,and that of others who may dive with you, answer all questions honestly.

    Your response will be kept confidential and used solely for the purpose of ensuring appropriate care and preparedness.

    DIRECTIONS

    Complete this questionnaire as a prerequisite to a participating in Elkhorn Marine Conservancy dive day.

    Note to women: If you are pregnant, or attempting to become pregnant, do not dive!

  • 1. I have had problems with my lungs, breathing, heart and or blood affecting my normal physical or mental performance.*
  • SECTION A -

    I HAVE / HAVE HAD:
  • Chest surgery, heart surgery, heart valve surgery, and implantable medical device (eg, stent,  pacemaker,  neurostimulator), pneumothorax, and/or chronic lung disease.
  • Asthma, wheezing, severe allergies, hay fever or congested airways within the last 12 months that limits my physical activity/exercise.
  • A problem or illness involving my heart such as: angina, chest pain on exertion, heart failure, immersion pulmonary edema, heart attack or stroke, OR am taking medication for any heart condition.
  • Recurrent bronchitis and currently coughing within the past 12 months, OR have been diagnosed with emphysema.
  • Symptoms affecting my lungs, breathing, heart and/or blood in the last 30 days that impair my physical or mental performance.
  • 2. I am over 45 years of age.*
  • SECTION B -

    I AM OVER 45 YEARS OF AGE AND:
  • I currently smoke or inhale nicotine by other means.
  • I have a high cholesterol level.
  • I have high blood pressure.
  • I have had a close blood relative die suddenly or of cardiac disease or stroke before the age of 50, OR have a family history of heart disease before age 50 (including abnormal heart rhythms, coronary artery disease or cardiomyopathy).
  • I have had a close blood relative die suddenly or of cardiac disease or stroke before the age of 50, OR have a family history of heart disease before age 50 (including abnormal heart rhythms, coronary artery disease or cardiomyopathy).
  • 3. I struggle to perform moderate exercise (for example, walk 1.6 kilometer/one mile in 14 minutes or swim 200 meters/yards without resting), OR I have been unable to participate in a normal physical activity due to fitness or health reasons within the past 12 months.*
  • 4. I have had problems with my eyes, ears, or nasal passages/sinuses.*
  • SECTION C -

    I HAVE / HAVE HAD:
  • Sinus surgery within the last 6 months.
  • Ear disease or ear surgery, hearing loss, or problems with balance.
  • Recurrent sinusitis within the past 12 months.
  • Eye surgery within the past 3 months.
  • 5. I have had surgery within the last 12 months, OR I have ongoing problems related to past surgery.*
  • 6. I have lost consciousness, had migraine headaches, seizures, stroke, significant head injury, or suffer from persistent neurologic injury or disease.*
  • SECTION D -

    I HAVE / HAVE HAD:
  • Head injury with loss of consciousness within the past 5 years.
  • Persistent neurologic injury or disease.
  • Recurring migraine headaches within the past 12 months, or take medications to prevent them.
  • Blackouts or fainting (full/partial loss of consciousness) within the last 5 years.
  • Epilepsy, seizures, or convulsions, OR take medications to prevent them.
  • 7. I am currently undergoing treatment (or have required treatment within the last five years) for psychological problems, personality disorder, panic attacks, or an addiction to drugs or alcohol; or, I have been diagnosed with a learning or developmental disability.*
  • SECTION E -

    I HAVE / HAVE HAD:
  • Behavioral health, mental or psychological problems requiring medical/psychiatric treatment.
  • Major depression, suicidal ideation, panic attacks, uncontrolled bipolar disorder requiring medication/psychiatric treatment.
  • Been diagnosed with a mental health condition or a learning/developmental disorder that requires ongoing care or special accommodation.
  • An addiction to drugs or alcohol requiring treatment within the last 5 years.
  • 8. I have had back problems, hernia, ulcers, or diabetes.*
  • SECTION F -

    I HAVE / HAVE HAD:
  • Recurrent back problems in the last 6 months that limit my everyday activity.
  • Back or spinal surgery within the last 12 months.
  • Diabetes, either drug or diet controlled, OR gestational diabetes within the last 12 months.
  • An uncorrected hernia that limits my physical abilities.
  • Active or untreated ulcers, problem wounds, or ulcer surgery within the last 6 months.
  • 9. I have had stomach or intestine problems, including recent diarrhea.*
  • SECTION G -

    I HAVE / HAVE HAD:
  • Ostomy surgery and do not have medical clearance to swim or engage in physical activity.
  • Dehydration requiring medical intervention within the last 7 days.
  • Active or untreated stomach or intestinal ulcers or ulcer surgery within the last 6 months.
  • Frequent heartburn, regurgitation, or gastroesophageal reflux disease (GERD).
  • Active or uncontrolled ulcerative colitis or Crohn’s disease.
  • Bariatric surgery within the last 12 months.
  • 10. I am taking prescription medications (with the exception of birth control or anti-malarial drugs other than mefloquine (Lariam).*
  • If you answered NO to all 10 questions above, a medical evaluation is not required. Please read and agree to the participant statement below by signing it.

    If you answered YES to questions 3, 5, or 10, OR to any question in the “Section” portion of this form, you must obtain medical clearance from a physician before participating in any diving activity.

     

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