Apneista Free-Diving Liability Release & Assumption Of Risk

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Apneista free-diving liability release & assumption of risk
I, __________________________________ (print name) hereby affirm that I have been thoroughly
informed of the risk involved with any freedivng / breath-hold activity.
Initials
I understand that freediving / breath-holding underwater may involve inherent risks,
______
including but not limited to hypoxia, marine life injuries, barotraumas, shallow water
blackout, drowning or hyperbaric accidents. Treatment of a freediving / breath-hold
diving accident victim with these or other injuries may require immediate medical
attention and / or hyperbaric oxygen therapy.
I specifically understand that the risk of shallow water blackout is inherent of freediving /
______
breath-hold diving activities, and that I still intend to participate in freediving / breath-
hold diving. I agree that I will not freedive / breath-hold alone; I will always freedive with a
qualified surface support freediver at all times.
I understand that neither my trainers at Apneista nor anyone else working with Apneista
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(hereinafter referred to as the released parties) may be held liable or responsible in any
way for any injury, death or other damages to myself, my family, heirs that may occur as a
result of my participation in this freediving / breath-hold course or as a result of the
negligence of any party, including the Released Parties, whether passive or active.
I agree to hold harmless the Released Parties from any claim or lawsuit by myself, my
______
family, estate, heirs or assigns, arising during or after I complete the freediving / breath-
hold course.
I understand that any diving activities are physical strenuous and that I will be exerting
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myself during this freediving / breath-hold dive, and I expressly assume the risk of any
and all injuries, and I will not hold the Released Parties responsible if I am injured as a
result of heart attack, panic, hypoxia, hyperventilation, oxygen toxicity, decompression
illness, gas embolism, drowning or any other causes of injury or death not specifically
stated herein.
It is the intention of __________________________________ (print name) by this written document
to exempt and release all of the Released Parties as defined herein, from all liability
whatsoever for personal injury, property damage or wrongful death however caused ,
including but not limited to the negligence of the Released Parties, whether active or passive.
I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS LIABILITY RELEASE AND
ASSUMPTION OF RISK BY READING IT BEFORE SIGNING IT ON BEHALF OF MY HEIRS AND
MYSELF.
Participant Signature
Signature Date
____________________________________ ____________________________________

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