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Passenger Waiver

I understand that there are inherent risks involved with boating including but not limited to equipment failure, perils at sea, acts of other participants, adverse weather conditions and I hereby assume such risks.

I understand that I have a duty to exercise reasonable care for my own safety and I agree to do so. I assert that I am physically fit to ride on a boat and will not hold Divers Den or 2407137 Ontario Inc. or their employees, agents or other associated personnel responsible. I hereby agree to freely, voluntary and expressly assume and accept all risks of any injury to any part of this users body while snorkeling.

II hereby forever release this dive shop from and indemnify it and hold it harmless for any and all responsibility or legal liability for any injuries or damages to any user or any equipment whether or not such injuries or damages are caused by the negligence of this dive shop. I agree not to make acclaim against or sue this Dive Shop for any injuries or damages relating to snorkeling and/or the use of this equipment and I will accept full responsibility for those injuries or damages.

I have carefully read this agreement. I am aware that this is a binding contact which provides a comprehensive release of liability. However, it is not intended to assert any claims or defenses that are prohibited by law.

This document constitutes the final and entire agreement between the dive shop and the undersigned.

The Dive Shop, owners and crew of the charter vessels shall not be liable for any loss or injury howsoever caused, whether by reason of fault or negligence of the owners or otherwise.

 

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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