Caliber Therapies & Mission Support Scuba's Try Scuba Event: Registration & Liability Waiver

Recreational scuba diving and freediving requires good physical and mental health. There are some medical conditions which can be hazardous while diving. 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 (breathhold diving). This form is principally designed as an initial medical screen for new divers, but is also appropriate for those considering any diving activity. For your safety, and that of others who may dive with you, answer all questions honestly. Directions: Complete this questionnaire as a prerequisite to a recreational scuba diving or freediving course. If you answer NO to all 10 questions below, a medical evaluation is not required. Please read and agree to the participant statement below by signing and dating it. If you answer YES to questions 3, 5 or 10 below OR to any of the follow-up questions, please read and agree to the statement by signing and dating it AND take all three pages of the Diver Medical form (Participant Questionnaire and the Physician's Evaluation Form) to your physician for a medical evaluation. Medical evaluation is required. Note to women: If you are pregnant, or attempting to become pregnant, do not dive.

Any YES answer in Boxes A through G, or to questions 3, 5 or 10, means a physician's medical evaluation is required before diving (see directions above).

Instructor Name: Bob Vesseliza. Facility Name: Dive Shop San Marcos / Mission Support SCUBA.

Participant Statement: I have answered all questions honestly, and understand that I accept responsibility for any consequences resulting from any questions I may have answered inaccurately or for my failure to disclose any existing or past health conditions.

RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND EXPRESS ASSUMPTION OF RISK AGREEMENT. PLEASE READ AND BE CERTAIN YOU UNDERSTAND THE IMPLICATIONS OF SIGNING THIS RELEASE. EXPRESS ASSUMPTION OF RISK ASSOCIATED WITH SNORKELING, APNEA DIVING, SCUBA DIVING, FIRST AID, AND RELATED ACTIVITIES: I, the participant whose legal name is printed above, hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with Snorkeling, Apnea Diving, SCUBA Diving, First Aid, and instruction related thereto ("Diving Activities"). I fully understand that these hazards and risks can lead to severe injury and even loss of life. I understand that Snorkeling, Apnea Diving, SCUBA Diving, and First Aid activities may be conducted at a site that is remote from a recompression chamber and competent medical assistance. Nevertheless, I choose to proceed even in the absence of a recompression chamber and competent medical assistance. Additionally, I understand that there are also hazards and risks associated with Snorkeling, Apnea Diving, SCUBA Diving, First Aid, and related travel, including, but not limited to the possible injury or loss of life as a result of a vessel accident, being hit by a vessel while in or under the water, while boarding, disembarking, exiting and/or re-boarding the vessel to begin or end diving activities, equipment failure, user error, as well as during travel to and from dive sites. Despite the potential hazards and risks associated with Snorkeling, Apnea Diving, SCUBA Diving, First Aid activities, and related activities which can include but are not limited to, aquatic life encounters, currents, waves, barotraumas (pressure change related injuries), sudden loss of visibility, entrapment underwater in wrecks, caves, vegetation, fishing line, fishing nets or debris, I wish to proceed and I freely accept and expressly assume all hazards and risks, that may arise from Snorkeling, Apnea Diving, SCUBA Diving, First Aid activities, and related activities which could result in personal injury, loss of life and property damage to me.

RELEASE OF LIABILITY AND WAIVER OF CLAIMS AGREEMENT: In consideration of being allowed to participate in Snorkeling, Apnea Diving, SCUBA Diving, and First Aid activities as well as the use of any of the facilities and the use of the equipment of the below listed persons or entities, I hereby agree as follows: 1. TO WAIVE AND RELEASE ANY AND ALL CLAIMS based upon negligence, active or passive with the exception of intentional, wanton or willful misconduct that I may have in the future against any of the following named persons or entities (hereinafter referred to as Releasees); National Association of Underwater Instructors, Inc. (NAUI) and subsidiary companies: (Instructor/s and Leader/s) Bob Vesseliza, Michelle Kraft, Mike Flores, Scott Hill, Matt Bessler; (Facility/ies) Dive Shop San Marcos, Mission Support SCUBA; (Others) Other NAUI Instructors, Divemasters, and Assistant Instructors. 2. To release the Releasees, their officers, directors, employees, representatives, agents and volunteers, from liability and responsibility, whatsoever, for any claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury, property damage or wrongful death arising from Snorkeling, Apnea Diving, SCUBA Diving, First Aid activities, and related activities whether caused by active or passive negligence of the Releasees or otherwise with the exception of gross negligence. By executing this Agreement, I agree to hold the Releasees harmless for any injury or loss of life which may occur to me during Snorkeling, Apnea Diving, SCUBA Diving, and First Aid activities and/or instruction, and any and all future courses of instruction, programs and Snorkeling, Apnea Diving, SCUBA Diving, and First Aid related travel I undertake.

3. I fully understand that Snorkeling, Apnea Diving, SCUBA Diving, and First Aid related activities are physically strenuous and I will be exerting myself during this course of instruction. I understand and agree that if I am injured or killed as a result of heart attack, panic, hyperventilation, oxygen toxicity, hypoxia, narcosis, aquatic life encounters, drowning or any other cause, that I expressly assume the risk of these injuries and/or attended death and that I will not hold the Releasees included in this Agreement responsible in any other way. 4. By entering into this Agreement, I am not relying on any oral or written representation or statements made by the Releasees, other than what is set forth in this Agreement. I further agree that this Agreement shall be governed by and interpreted in accordance with the laws of the State of Florida, United States of America. 5. If any provision, section, subsection, clause or phrase of this Agreement is found to be unenforceable or invalid, that portion shall be severed from this Agreement. The remainder of this Agreement will then be construed as though the unenforceable portion had never been contained in the Agreement. The English language version of this document shall be controlling in all respects and shall prevail in case of any inconsistencies with translated versions. I fully understand that the terms of this Agreement are contractual in nature and not a mere recital. I further state by way of my signature I have signed this Agreement of my own free act. I hereby declare that I am of legal age and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this Agreement.

Witness and Instructor/Leader confirmation will be completed in person on the day of the event.

PHOTOGRAPHIC CONSENT AND RELEASE FORM. I hereby authorize Caliber Therapies, L.L.C., and those acting pursuant to its authority to: (a) Record my likeness and voice on a video, audio, photographic, digital, electronic, or any other medium. (b) Use my name in connection with these recordings. (c) Use, reproduce, exhibit, or distribute in any medium (e.g., print publications, videotapes, CD-ROM, Internet/www) these recordings for any purpose that Caliber Therapies, L.L.C., and those acting pursuant to its authority deem appropriate, including promotional or advertising efforts. I release Caliber Therapies, L.L.C., and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that all such recordings, in whatever medium, shall remain the property of Caliber Therapies, L.L.C. I have read and fully understand the terms of this release.

TRY SCUBA EVENT. IMPORTANT: THIS IS A LEGAL DOCUMENT. BY SIGNING IT, THE PARTICIPANT OR THE PARTICIPANT'S PARENT OR LEGAL GUARDIAN AGREES TO ASSUME RISKS, RELEASE CLAIMS, WAIVE THE RIGHT TO SUE, AGREE TO ARBITRATE, AND PROVIDE CERTAIN INDEMNITY PROTECTIONS, INCLUDING WITH RESPECT TO CLAIMS ARISING FROM THE ORDINARY NEGLIGENCE OF THE RELEASED PARTIES. READ THIS AGREEMENT CAREFULLY BEFORE SIGNING. This Try Scuba Event Participant Consent, Assumption of Risk, Release, Waiver, and Indemnity Agreement ("Agreement") is executed in connection with the introductory scuba-diving event described below ("Event"): Sponsor: Caliber Therapies, L.L.C. Event Date and Time: 10/25/2026. Event Location: _______________________________. Dive Operator: Robert Vasalisa. Instructor or Divemaster: Robert Vasalisa.

Article 1 — Participant Information and Consent. I. Participant's voluntary participation. I voluntarily request and consent to the Participant's participation in the Event. I understand that the Event may include orientation, recreational-therapy activities, fitting and use of scuba equipment, breathing compressed gas, entry into and exit from a pool or other confined-water environment, underwater swimming, and related activities occurring in, on, under, or near water. II. Nature and limitations of Event. I understand that the Event is an introductory recreational experience and is not a scuba certification course, medical service, medical treatment, psychological treatment, or guarantee that the Participant will be qualified or permitted to engage in scuba diving after the Event. Participation in the Event does not confer any scuba certification or authorize unsupervised diving. IV. Compliance with instructions. The Participant agrees to comply promptly with all safety rules, medical-screening requirements, equipment procedures, hand signals, depth and time limitations, buddy-system requirements, and instructions given by the Sponsor, Dive Operator, instructors, divemasters, lifeguards, facility personnel, or other Event personnel.

Article 2 — Medical Disclosure and Fitness to Participate. I. Complete and accurate disclosure. I represent that all health, medical, behavioral, functional, medication, allergy, disability, accommodation, and emergency information supplied concerning the Participant is complete and accurate to the best of my knowledge. I will disclose before participation any condition or circumstance that could affect the Participant's ability to participate safely. II. Fitness confirmation. I represent that the Participant: A. is physically, medically, emotionally, and cognitively able to participate safely, with any disclosed accommodations; B. is not under the influence of alcohol, cannabis, illegal drugs, impairing medication, or any other substance or condition that could impair judgment, coordination, breathing, consciousness, or physical performance; C. has not been advised by a qualified health-care professional to refrain from scuba diving or the activities included in the Event, except as expressly disclosed in writing; and D. will immediately stop participating and notify Event personnel if the Participant experiences pain, breathing difficulty, dizziness, nausea, anxiety, panic, confusion, equipment difficulty, unusual fatigue, or any other symptom or circumstance affecting safe participation. III. Continuing duty to update. I will notify Event personnel of any material change in the Participant's condition occurring before or during the Event. The Participant will not conceal symptoms or continue participating after being instructed to stop.

Article 3 — Acknowledgment and Assumption of Risk. I. Water and scuba-specific risks. I understand that scuba diving and related aquatic activities involve inherent and other risks that cannot be eliminated, even when appropriate care, instruction, supervision, and equipment are provided. I understand I am receiving introductory instruction from the Dive Operator, and the Sponsor is not operating the Event. The Participant agrees to listen carefully, ask questions when an instruction is not understood, demonstrate required skills when requested, and remain within the area, depth, duration, and level of supervision designated by Event personnel. II. Potential severity. I understand that these risks may result in property damage, emotional distress, illness, temporary or permanent disability, paralysis, catastrophic injury, or death. I further understand that the Participant's disability, health condition, limited swimming ability, inexperience, or need for assistance may increase particular risks. I understand that the preceding list is illustrative rather than exhaustive and that the Event may involve other known or unknown, foreseeable or unforeseeable risks. Article 4. VOLUNTARY ASSUMPTION. WITH FULL KNOWLEDGE OF THE NATURE AND POTENTIAL CONSEQUENCES OF THESE RISKS, I KNOWINGLY AND VOLUNTARILY ACCEPT AND ASSUME ALL RISKS OF THE PARTICIPANT'S PRESENCE AT AND PARTICIPATION IN THE EVENT, INCLUDING RISKS ARISING FROM THE ORDINARY NEGLIGENCE OF ANY RELEASED PARTY, TO THE FULLEST EXTENT PERMITTED BY LAW.

Article 5 — Release, Waiver, and Covenant Not to Sue. I. Released Parties. "Released Parties" means, collectively and individually: A. the Sponsor, Dive Operator, and each identified instructor or divemaster; B. the owner, operator, manager, and lessor of the Event location; C. equipment owners, suppliers, manufacturers, distributors, and service providers involved with the Event; D. each Event organizer, recreational therapist, health-care consultant, contractor, volunteer, lifeguard, safety diver, employee, officer, director, manager, member, owner, agent, representative, affiliate, insurer, and emergency responder associated with any person or entity identified above; and E. the respective successors and assigns of each of the foregoing. Article 5. EXPRESS RELEASE OF ORDINARY NEGLIGENCE. TO THE FULLEST EXTENT PERMITTED BY LAW, I, FOR MYSELF AND, TO THE EXTENT I AM LEGALLY AUTHORIZED TO DO SO, FOR THE PARTICIPANT, RELEASE AND FOREVER DISCHARGE THE RELEASED PARTIES FROM ALL CLAIMS, DEMANDS, CAUSES OF ACTION, SUITS, LIABILITIES, LOSSES, DAMAGES, COSTS, AND EXPENSES ARISING OUT OF OR RELATING TO THE PARTICIPANT'S ATTENDANCE AT, TRANSPORTATION PROVIDED AS PART OF, OR PARTICIPATION IN THE EVENT, INCLUDING PERSONAL INJURY, ILLNESS, DISABILITY, DEATH, EMOTIONAL DISTRESS, PROPERTY LOSS, OR PROPERTY DAMAGE, EVEN IF CAUSED IN WHOLE OR IN PART BY THE PRESENT OR FUTURE ORDINARY NEGLIGENCE OF A RELEASED PARTY, INCLUDING NEGLIGENT INSTRUCTION, SUPERVISION, EQUIPMENT SELECTION, EQUIPMENT INSPECTION, EQUIPMENT MAINTENANCE, PREMISES MAINTENANCE, SAFETY PROCEDURES, MEDICAL SCREENING, RESCUE, FIRST AID, OR EMERGENCY RESPONSE. Exclusions. This Agreement does not release any claim to the extent a release of that claim is prohibited by applicable law. It does not purport to release liability for gross negligence, reckless conduct, or intentional misconduct. Waiver and covenant not to sue. To the fullest extent permitted by law, I waive the right to bring, maintain, or participate in any claim or legal proceeding against a Released Party concerning a matter released under this Agreement and covenant not to sue any Released Party with respect to such a matter. Personal property. I accept responsibility for the Participant's personal property and release the Released Parties from claims for loss, theft, or damage to that property, including corrective lenses, hearing devices, mobility devices, clothing, jewelry, and electronic equipment, except to the extent such release is prohibited by law.

Article 6 — Indemnity. I. Participant-caused claims. I agree to defend, indemnify, and hold harmless the Released Parties from claims, liabilities, damages, judgments, settlements, penalties, costs, and reasonable attorneys' fees arising from: A. the Participant's violation of Event rules or instructions; B. the Participant's intentional, reckless, or negligent acts or omissions that cause injury or damage to another person or property; C. materially false, incomplete, or concealed information supplied concerning the Participant's health, medications, restrictions, swimming ability, qualifications, or fitness to participate; or D. a claim brought by or through me or the Participant in breach of the release, waiver, or covenant not to sue contained in this Agreement. II. EXPRESS NEGLIGENCE INDEMNITY. TO THE FULLEST EXTENT PERMITTED BY LAW, THE INDEMNITY IN SECTION I.D INCLUDES A CLAIM ALLEGING THAT AN INJURY, DEATH, LOSS, OR DAMAGE WAS CAUSED IN WHOLE OR IN PART BY THE ORDINARY NEGLIGENCE OF A RELEASED PARTY. THIS INDEMNITY DOES NOT APPLY TO THE EXTENT THE CLAIM RESULTS FROM A RELEASED PARTY'S GROSS NEGLIGENCE, RECKLESS CONDUCT, OR INTENTIONAL MISCONDUCT.

Article 7 — General Provisions. I. Texas law and venue. This Agreement is governed by the laws of the State of Texas, without regard to conflict-of-laws principles. Each signing person consents to that court's personal jurisdiction and venue in Bexar County, Texas. II. Binding Arbitration Clause. ANY DISPUTE, CLAIM OR CONTROVERSY ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE PROCEEDINGS, OR THE BREACH, TERMINATION, ENFORCEMENT, INTERPRETATION OR VALIDITY, INCLUDING THE DETERMINATION OF THE SCOPE OR APPLICABILITY OF THIS AGREEMENT TO ARBITRATE, SHALL BE DETERMINED BY ARBITRATION IN BEXAR COUNTY, TEXAS, BEFORE THE HONORABLE POLLY JACKSON SPENCER (RET.) OR A PERSON CERTIFIED TO ARBITRATE IN BEXAR COUNTY, TEXAS AT THE CHOICE OF THE SPONSOR. IF AN ARBITRATION AWARD IS MADE TO A PREVAILING PARTY IN EQUITY OR LAW, THEN THAT PARTY SHALL BE ENTITLED TO ATTORNEY'S FEES, COSTS, AND EXPENSES. A PREVAILING PARTY IS DEFINED AS A PARTY THAT RECEIVES AN AWARD OF RELIEF IN LAW OR IN EQUITY AS SOLELY DETERMINED BY THE ARBITRATOR. II. Severability and reformation. If any provision of this Agreement is held invalid or unenforceable, it will be enforced to the maximum extent permitted by law and, if necessary, reformed to accomplish its purpose as closely as legally permissible. The remaining provisions will continue in effect. III. Entire agreement. This Agreement constitutes the entire agreement concerning its subject matter and supersedes prior or contemporaneous oral or written representations concerning release, waiver, assumption of risk, indemnity, medical authorization, and media consent for the Event. Any amendment must be in a writing signed by the Participant or the Participant's parent or legal guardian and an authorized representative of the Sponsor. IV. No oral waiver. A waiver of any provision is effective only if made in writing by the party against whom the waiver is asserted. A waiver on one occasion does not constitute a waiver on another occasion. V. Binding effect. This Agreement binds each signing person and that person's heirs, estate, personal representatives, executors, administrators, successors, and assigns and benefits the Released Parties and their successors and assigns. VI. Electronic and counterpart signatures. This Agreement may be signed electronically and in counterparts, each of which is deemed an original and all of which together constitute one instrument. VII. Survival. The assumption of risk, release, waiver, covenant not to sue, indemnity, medical-cost responsibility, media authorization, and general provisions survive completion, cancellation, or termination of the Event.

Article 8 — Adult Participant Acknowledgment and Signature. I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS ENTIRE AGREEMENT, UNDERSTAND ITS TERMS, HAVE HAD AN OPPORTUNITY TO ASK QUESTIONS, AND SIGN IT KNOWINGLY AND VOLUNTARILY. I UNDERSTAND THAT I AM ASSUMING RISKS AND GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO ASSERT CERTAIN CLAIMS BASED ON THE ORDINARY NEGLIGENCE OF A RELEASED PARTY. I further certify that I am at least 18 years of age, possess legal capacity to sign this Agreement, and have provided complete and accurate information.