DIVER’S APPLICATION AND LIABILITY FORM

 

NAME:

 

EMAIL:

 

HOME ADDRESS:



CERTIFICATION AGENCY:

 

HIGHEST CERTIFICATION LEVEL:

 

APPROX’ NUMBER OF DIVES:

 

DATE OF LAST DIVE:

 

EMERGENCY CONTACT:

 

INSURANCE INFORMATION:

 

Social Media ID (optional)

 

STATEMENT OF UNDERSTANDING AND WAIVER

I am a certified diver. I will: 

  1.   Be in good mental and physical condition for diving at all times. 
  2.   Avoid being under the influence of alcohol or drugs while diving. Cabo Private Guide staff may disqualify me

from the dive if I am under the influence.

  1.   Engage only in diving activities consistent with my training, comfort, and experience. 
  2.   Listen carefully to the dive briefings and respect the advice of the divemasters supervising my activities. 
  3.   Adhere to the buddy system throughout every dive. 
  4.   Observe local diving rules. 
  5.   Never exceed the depth or time limitations planned by the divemasters and never exceed 130 feet/39m under any circumstances. 
  6.   Ascend no faster than 60 feet per minute and do a deep stop (2 minutes 40ft/12m) and a safety stop (3         minute/5 metres – 15 feet) on all dives.
  7.           Never dive deeper than the dive guide. 
  8.         Use a dive computer / safety buoy on every dive. 

I, ______________________________________________, (NAME) have read, fully understand and will conform with all of the above statements. I release Cabo Private Guide and all the agents associated from all liability whatsoever for personal injury, wrongful death or property loss or damage. 

LIABILITY RELEASE AND ASSUMPTION OF RISK

I,_______________________________________________ , (NAME) understand and agree that neither my Cabo Private Guide guide(s), divemasters or instructors; or boat and captains,  PADI International Incorporated , may be held liable or responsible in any way for any injury, death or other damages to me or my family, heirs or assigns that may occur as a result of my participation in this scuba diving or as a result of the negligence of any party, including the Release Parties, whether passive or active. I further agree that any and all suits or claims against above operator will be disputed only in the Mexican United States (Estados Unidos Mexicanos), accepting the rules, laws, and regulations of the Mexican Republic. NO complaint suits demands will be filed in any other country regardless of the client’s country of origin or address. I accept the rules and the counts of the home of the operator (Estados Unidos Mexicanos) as the governing agency for all disputes of any kind. 

SIGNATURE OF ACCEPTANCE OF ABOVE STATEMENT DATE :  _____________________________________________

 

 I, _________________________________________________, (NAME) further understand that diving with compressed, and any mixture of oxygen and nitrogen (NITROX), air involves certain inherent risks. Decompression sickness, embolism, or hyperbaric injuries can occur that require treatment in a recompression chamber. I still choose to participate in certified scuba diving. In consideration for being allowed to participate in certified scuba diving, I hereby personally assume all risk in connection with certified scuba diving, for any harm, injury or damage that may befall me while I am participating in certified scuba diving, including all risk connected therewith, whether foreseen or unforeseen. I further hold harmless Release Parties from any claim or lawsuit by me, my family, estate, heirs, or assigns, arising out of my participation in certified scuba diving, including both claims arising during certified scuba diving and after participating. I also understand that scuba diving is a strenuous activity and that I will be exerting myself during certified scuba diving, and if I am injured as a result of heart attack, panic, hyperventilation, etc. that I expressly assume the risk of said injuries and that I will not hold the aforementioned individuals, companies or agencies responsible for same. 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 legal guardian. I understand that the terms of herein are contractual and not a mere recital, and that I have signed this document of my own free act. It is the intention of _____________________________________________ (NAME) by this instrument to exempt and release any and all related entities as defined above, from all liability or responsibility whatsoever. I have fully informed myself of the contents of this liability release and express assumption of risk by reading it before I signed it on behalf of myself and my heirs. 

COVID 19

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that Cabo Private Guide recommends practicing social distancing.  I further acknowledge that Cabo Private Guide has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.   I further acknowledge that Cabo Private Guide can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, dive center staff and other dive center clients and their families. I voluntarily seek services provided by Cabo Private Guide and Cabo Dive Club and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my tour.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

SIGNATURE/DATE  (PARTICIPANT) _________________________________________________

SIGNATURE/DATE  (LEGAL GUARDIAN) _________________________________________________

Diving Insurance Policy details _________________________________________________