Complete Marine Animal Encounter Dive Liability Release Form printable pdf download

CAPTAIN SLATE’S DIVE CENTER, INC./DIVE PROFESSINALS, INC./CAPTAIN SLATE’S SCUBA ADVENTURES

CAPTAIN SLATE'S ATLANTIS DIVE CENTER

Complete Marine Animal Encounter Dive Liability Release

I hereby request that Captain Slate’s Dive Center, Inc./Dive Professionals, Inc./Captain Slate’s Scuba Adventures /

Captain Slate's Atlantis Dive Center, it agents, employees, instructors, vessels hereinafter referred to as Captain

Slate’s Dive Center, Inc./Dive Professionals, Inc./Captain Slate’s Scuba Adventures/ Captain Slate's Atlantis Dive

Center allow me to pay for and participate in a fish feeding dive, organized and supervised by Captain Slate’s Dive

Center, Inc./Dive Professionals, Inc./Captain Slate’s Scuba Adventures/ Captain Slate's Atlantis Dive Center. I

understand that I am specifically requesting to participate in a scuba dive that is intended to be done in the

presence of wild and unpredictable marine creatures, including but not specifically limited to moray eels,

barracuda and sharks. I understand that these animals may bite, sting, or otherwise cause serious injury. I

understand that Captain Slate’s Dive Center, Inc./Dive Professionals, Inc./Captain Slate’s Scuba Adventures /

Captain Slate's Atlantis Dive Center personnel will intentionally attract these marine creatures to the immediate

area of this dive and that I will be swimming unprotected within 10 feet or less of these marine creatures. Captain

Slate’s Dive Center, Inc./Dive Professionals, Inc./Captain Slate’s Scuba Adventures/ Captain Slate's Atlantis Dive

Center has made it clear to me that these animals/creatures have not been trained and that they cannot be

trained. I understand that they bite! I am making the request to dive with these wild animals with the full

knowledge of the dangers involved with swimming with untamed marine creatures. I have not been promised or

guaranteed safety no has I been told anything contrary to what is stated in this release and waver agreement.

In consideration for allowing me to participate in this fish feeding dive, with full knowledge of the inherent dangers

involved in such a dive, I hereby voluntary release, discharge, waive and relinquish any and all actions or causes of

action for my personal injury, property damage or wrongful death occurring to me, which injury property damage

or wrongful death arises as a result of engaging in this fish feeding dive and any activities incidental t this dive

whatsoever, administrators, and assigns, hereby release, waive, discharge, and relinquish any action or causes of

action, which may hereafter arise from myself and my estate, and I agree that under no circumstances will I or my

heirs, executors, administrators, and assigns prosecute or present any claim for personal injury, property damage

or wrongful death against Captain Slate’s Dive Center, Inc. /Dive Professionals, Inc./Captain Slate’s Scuba

Adventures/ Captain Slate's Atlantis Dive Center for personal injury, property damage or wrongful death by

negligence or gross negligence. By signing this document, I acknowledge that I assume all risks of personal injury,

property damage or wrongful death to myself during this fish‐feeding dive.

I hereby grant Frazier Nivens, Ocean Imaging the absolute & irrevocable right to publish any form of imaging by

them taken at Capt. Slates Scuba Adventures for any purpose whatsoever without restriction. My signature on this

release form grants use of my image.

I HAVE READ THIS AGREEMENT, UNDERSTAND IT, AND AGREE TO BE BOUND BY IT, FROM THE DATE OF MY

SIGNATURE, FOREVER INTO THE FUTURE.

INDIVIDUALS UNDER AGE 18 MUST HAVE PARENT’S SIGNATURE

Signature: ____________________________________ Date: ______________________________

Print Name: __________________________________ Home Address: __________________________

Parent Signature: (if under 18) ___________________ City, State, Zip: __________________________

Local Accommodations: ______________________ Home Phone #:_______________________

Group Name: _______________________________ Email: _________________________________

Complete Marine Animal Encounter Dive Liability Release Form