EN Ducks Diving Quesier Check in
  • Ducks Diving Quesier Liability Releaseand Standards for Safe Diving Practices

    This agreement is a legal contract that indemnifies Ducks Diving Quesier ("the Diving Center") against any claims and outlines the terms, conditions, and inherent risks of scuba diving activities. Read this document carefully before signing.
  • Certification, Training and Medical Requirements

    The participant acknowledges with their signature that they:

    • Are in possession of an internationally accepted diving license and will present it prior to any diving activities.
    • Will not participate under the influence of alcohol, drugs, or in the case of pregnancy.
    • Will adhere to all medical requirements, including disclosing any conditions that could impair safe diving and presenting a valid medical certificate when required.

    Acknowledgment of Risks

    Scuba diving involves inherent risks, including but not limited to:

    • Drowning, overexertion, and panic;
    • Decompression sickness, embolism, and barotrauma;
    • Marine life injuries, environmental hazards, and equipment malfunctions;
    • Risks associated with transportation to and from dive sites and onboard dive vessels.

    By signing, I acknowledge that these risks cannot be entirely eliminated, even with proper training and supervision.

    Assumption of Risk and Release of Liability

    In consideration of being allowed to participate in diving activities, I:

    • Assume all risks associated with scuba diving and snorkeling activities, including transportation, use of rental equipment, and participation in dives.
    • Release, waive, and discharge the Diving Center, its owners, officers, employees, instructors, agents, and affiliates from any claims, demands, damages, or causes of action arising from personal injury, theft, property damage, or wrongful death.

    Dive Planning and Conduct

    I agree to:

    • Adhere to all dive plans as communicated by the dive guide or instructor.
    • Remain within the limits of my training and certification, including depth and decompression guidelines.
    • Maintain a good buddy system, ensuring buddy teams descend and ascend together, only separating upon safely returning to the dive boat or designated exit point.
    • Perform a buddy check before each dive and follow proper emergency protocols.
      Adhere to the attached SSI Responsible Diver Code

    Equipment Responsibility

    All participants:

    • Accept responsibility for rented equipment as received.
    • Acknowledge the Diving Center is not liable for technical faults or manufacturer defects.
    • Are required to inspect and use rented equipment properly and conduct a function test (buddy check) prior to diving.

    Environmental Protection

    I agree to:

    • Follow all guidelines for marine conservation, including no-touch policies for coral reefs and marine life.
    • Dispose of waste responsibly and maintain the cleanliness of the marine environment.

    Payment and Refund Policy

    • All services must be paid in full at the diving center one day prior to departure.
    • Refunds are not provided for incomplete activities or unused services.

    Additional Provisions

    • All participants dive at their own risk and responsibility.
    • The Diving Center is not responsible for accidents, theft, damages, or losses at its premises or on dive vessels.
    • I voluntarily assume all risks associated with scuba diving activities provided by the Diving Center.
    • I agree to indemnify and hold harmless the Diving Center from any claims including claims brought by third parties as a result of my actions or omissions during diving activities.

    Acknowledgment and Agreement

    • I confirm that I have read and understood this agreement, including all privacy policy. I agree to release and indemnify Ducks Diving Quesier as outlined above. I also confirm that I have signed the SSI Responsible Diver Code.


     

    • Participant Data 
    • Birthdate*
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    • Today
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    • Diving Certification 
    • Are you a certified scuba diver?*
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    • Last Dive*
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    • Do you have a voucher?*
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    • Liability Release and Standards for Safe Diving Practices

      By signing below, you acknowledge that you have read, understood, and agree to the Ducks Diving Quesier Liability Release and the Standards for Safe Diving Practices. You accept responsibility for your own safety and release Ducks Diving and its affiliates from liability for any injury or loss incurred during diving activities.
    • Arrival Date*
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    • Departure Date*
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  • Responsible Diver Code

    Scuba diving is an adventure activity that requires the use of specialized life support equipment in an underwater environment where humans could not otherwise exist. As with other adventure activities, scuba diving has elements of risk that cannot be totally eliminated regardless of the amount of training, care, caution or expertise. SSI believes these risks may be reduced through the SSI Diver Diamond - development of proper Knowledge, Skills, Equipment and Experience. Ultimately it is up to each individual diver to assume the inherent risk associated with scuba diving and each diver’s responsibility to minimize the risk through exercising good judgment, common sense, respect and personal awareness during all diving activities. SSI has developed a Responsible Diver Code to remind divers of your responsibilities for each dive.
  • As a Responsible Diver - I pledge to:

    1. DIVE COMPETENTLY - Always dive within my training, certification, experience, comfort and ability.
    2. MAINTAIN APPROPRIATE DIVER HEALTH - Including appropriate fitness, physical health and mental awareness to dive.
    3. UTILIZE A DIVE PLAN - Plan my dive and dive my plan. Listen to and follow dive briefings.
    4. BE A RESPONSIBLE DIVE PARTNER - Remain with my dive partner from start to finish of my dive. Know our plan to reunite if separated underwater.
    5. INSPECT MY DIVE EQUIPMENT - Before each dive, I will inspect my equipment and make sure everything is working properly. I will confirm my cylinder valve is completely open. When using blended gas (i.e., Enriched Air Nitrox) – I shall analyze my gas and know its limitations. I will establish proper weighting, know how to release my weights, and verify my buoyancy compensator (BC) and inflator are connected and functioning properly. I will secure my submersible pressure/depth gauge and/or dive computer where it is easily accessible, and know how to use each.
    6. DIVER AWARENESS - Monitor my cylinder pressure; making sure to surface with reserve gas and never run out of gas. Monitor my depth and time, respect no decompression limits, perform controlled ascents, safety stops, and monitor my dive partner.
    7. MAINTAIN PROFICIENT SCUBA SKILLS - I understand scuba skills and knowledge are perishable. If it has been more than six months since my last dive, I understand the importance of taking a Scuba Skills Update course. I will maintain proper buoyancy throughout my dive, ascend slowly, and breathe properly to avoid overexpansion injuries.
    8. RESPECT THE ENVIRONMENT - Be aware of currents, waves, visibility, temperature, weather, boat traffic, slippery, uneven and unstable surfaces, overhead environments, entanglements, and hazardous marine life. I understand boats are unsteady surfaces and will always use one hand to stabilize myself. I understand the importance of taking an orientation dive with a local professional when diving in unfamiliar environments. I will obey all diving and applicable regulations, statutes and codes.
    9. PLAN FOR EMERGENCIES - In addition to inspecting all of my dive equipment, I will verify my dive partner’s equipment is functioning properly, configured appropriately and that I know how to remove our weights in case of an emergency. I will make sure our alternate air sources are properly secured and easily accessible in case of a low air or out of air emergency. I will know scuba hand signals and how to alert others in case of an emergency. I will have an emergency action plan in case my dive partner or I have an emergency.
    10. ACCEPT RESPONSIBILITY - I am ultimately responsible for my safety during all diving activities. Failure to comply with these responsibilities will increase my risk of serious injury or death. Accidents can happen even when all safety guidelines are followed, therefore I should obtain personal dive accident insurance.

    I understand the importance of being a responsible diver and I pledge to abide by the SSI Responsible Diver Code. I understand failure to abide by the SSI Responsible Diver Code will jeopardize my safety and well-being.

  • 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. This form is principally designed as an initial medical screen for new divers, but is also appropriate for divers taking continuing education. For your safety, and that of others who may dive with you, answer all questions honestly.
  • Divider
  • Chest surgery, heart surgery, heart valve surgery, an 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.*
  • 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).*
  • 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.*
  • 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.*
  • 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.*
  • 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.*
  • 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.*
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  • Medical Certificate Date*
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