Dive Boat Operations (In-Person) | Student Application

Dive Boat Operations Part 2 (In-Person) | Student Application

Complete your details, upload your ID photo, and sign electronically to register for this course.
Course Name:
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Have you already completed the Dive Boat Awareness online course?
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Phone - Business
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Date of Birth

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Government Issued Photo ID Upload

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Upload a copy of your United States MMC, United Kingdom CoC as Operator, Uninspected Passenger Vessel or Master, or certification as an SDI Divemaster or equivalent certification or higher

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Have you completed your First Response Adult and Child Emergency Care Provider and Oxygen Administration Provider certifications, or equivalent?
Upload proof of current First Response Adult and Child Emergency Care Provider and Oxygen Administration Provider certifications, or equivalent.

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If you have not already completed your First Response Adult and Child Emergency Care Provider and Oxygen Administration Provider certification, or equivalent, please click here to register.

Emergency Contact Name

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Emergency Contact Phone
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I do hereby grant permission for treatment of myself by the CLEVELAND CLINIC MARTIN HEALTH personnel and/or the physician on call. My Family Physician(s) is/are:
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Registration Agreement & Authorization
Agreement Reservations

Charles F. Chapman School of Seamanship Inc. hereinafter referred to as “the School” shall not be liable for failure to provide any of the training or equipment listed herein, or for the delay in providing such, where such failure or delay results from strike, riot, civil commotion, war, government regulations, unavoidable casualty, acts of God, weather, or any other cause beyond the control the School. The School reserves the right to make the changes in the course content as necessitated by changes in the marine industry. Further, the School does not discriminate on the basis of age, sex, religion, marital/familial status, handicap, race, or ethnic group.

Student Agreement

I have read the School website page or brochure concerning the course I want to take, and understand the conditions, services, and curriculum under which I will receive training. If registration is not accepted by the School, all payments made will be refunded promptly. If cancellation is requested within three (3) business days after signing the Registration Form, all payments will be refunded in accordance with the buyer’s right to cancel. If the School cancels the program due to insufficient student enrollment, I may be rescheduled for a future class, or all payments made will be refunded. In the event that I am unable to attend the class for which I am registered the following change/refund policy will apply: 1.If cancellation is requested more than three (3) business days after signing the Registration Form, but before the beginning of classroom instruction, the applicant is obligated for the non-refundable Tuition Deposit. 2. Where notice is provided to the School more than fourteen (14) days before the start of class, a student may transfer to another class upon payment of a $50.00 transfer fee. 3. If notice is provided to the School less than fourteen (14) days before the start of class to cancel, or if I do not arrive for the scheduled class, or wish to withdraw from class, I may be obligated for the full amount of the tuition.

Photographic Permission and Release

I grant permission and waive any rights of compensation for the use of my photograph (or artistic reproduction thereof) to Charles F. Chapman School of Seamanship Inc. for use in any school-related media (photo, slide presentations, website, catalog, advertising etc).

Other Considerations

If traveling to the School from outside of Florida, we strongly suggest you purchase refundable airfares, or arrange trip cancellation insurance through your travel agent. To safeguard against infection from minor scrapes or punctures, we suggest obtaining a current tetanus booster before arrival on the campus. If I am pursuing licensing, I will be personally responsible for the accuracy of the Coast Guard License package.

Release & Indemnity from Claims Arising Out Of Use of Equipment, Motors & Vessels

I, the undersigned, for myself, and my heirs, assigns and all those claiming by, through or under me, for and in consideration of being allowed the use of the equipment, motors, and vessels and the like owned by, maintained by or chartered to the CHAPMAN SCHOOL OF SEAMANSHIP, INC. or in consideration of training received on my own boat, being aware of risks inherent in using such items, hereby forever release and indemnify said CHAPMAN SCHOOL OF SEAMANSHIP, INC. from any loss, cost, bodily injury, property damage suit or claim arising out of the use of any equipment, motors or vessels, whether or not such loss, cost, bodily injury, property damage, suit or claim is based upon the sole negligence of CHAPMAN SCHOOL OF SEAMANSHIP, its full-time or part-time instructors or agents or otherwise.
Agreement

Student Signature
Date

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Dive Boat Operations Part 2 (In-Person) | Student Application

Registration Agreement & Authorization