Dive questionnaire
Recreational scuba diving and freediving requires good physical and mental health. There are a few medical conditions which can be hazardous while diving, listed below. Those who have, or are predisposed to, any of these conditions, should be evaluated by a physician. This Diver Medical Participant Questionnaire provides a basis to determine if you should seek out that evaluation. If you have any concerns about your diving fitness not represented on this form, consult with your physician before diving. If you are feeling ill, avoid diving. If you think you may have a contagious disease, protect yourself and others by not participating in dive training and/ or dive activities. References to “diving” on this form encompass both recreational scuba diving and freediving. This form is principally designed as an initial medical screen for new divers, but is also appropriate for divers taking continuing education. For your safety, and that of others who may dive with you, answer all questions honestly.
Scuba Diving Waiver and Release of Liability
Assumption of Risk
Scuba diving (including related activities such as Diving training and diving verification activities, boat travel and snorkeling) involves inherent risks that can result in serious injury or death. These inherent risks include, but are not limited to:
drowning, decompression sickness, air embolism or other hyperbaric injuries, marine life injuries, equipment failure, and environmental hazards such as strong currents or poor visibility. I acknowledge that equipment failure may occur despite constant equipment maintenance and inspection, also that dives may occur at sites remote from medical facilities, which means emergency medical care may not be immediately available. I understand these risks and freely choose to participate in scuba diving activities, fully aware of the dangers involved.
I expressly assume all known and unknown risks associated with scuba diving, whether foreseen or unforeseen.
Release of Liability
In consideration of being allowed to participate in scuba diving activities, I hereby release, waive, and hold harmless the dive organizers, instructors, dive masters, dive facility, boat operators, equipment manufacturers, and all associated companies and certification agencies (collectively, the “Released Parties”) from any and all liability for any personal injury, illness, property damage, or wrongful death that I may suffer arising out of my participation in these activities. This release applies even if such injury or damage is caused by the negligence of the Released Parties. I agree not to make any claim or initiate any lawsuit against the Released Parties in terms of the applicable law od The Quintana Roo State of Mexico, for any loss, injury, or death related to my participation in the scuba diving activities.
I further agree to defend, indemnify and hold harmless the Released Parties from any claims, liabilities, costs, attorneys' fees, or expenses pursued by me or on my behalf (or by my family, estate, heirs, or representatives) as a result of my involvement in scuba diving. This agreement is binding on me, as well as on my heirs, family, legal representatives, and assigns.
Diving Safety Acknowledgment.
I understand and agree to follow all proper scuba diving safety practices. Specifically, I acknowledge the following:
Training and Certification: I am a certified scuba diver, trained in proper dive practices, or I am a student diver under the direct supervision of a certified instructor. I agree to provide proof of certification or student status upon request. I will dive within the limits of my training and experience at all times.
Medical Fitness: I am in good health and physically fit for diving, with no known medical condition that would make diving unsafe, or I have been cleared by a physician. I am not under the influence of alcohol or drugs that could impair judgment. If I am taking any medication, I have obtained a doctor’s approval to dive with it.
Safe Diving Practices: I will adhere to all diving guidelines and follow instructions from dive professionals. I understand the importance of breathing continuously and never holding my breath. I will perform pre-dive safety checks and will not dive with faulty equipment.
Buddy System and Dive Planning: I will always dive with a buddy (or instructor, if training). My buddy and I will agree on our dive plan and follow it. I will monitor depth, time, air supply, and maintain communication throughout the diveaccording with the Padi standard of diving communications.
Emergency Procedures: I will follow standard Padi emergency protocols, including sharing air, ascending slowly at a maximum rate of 30 feet per minute, and performing a safety stop at 15-20 feet for 3-5 minutes on all dives deeper than 60 feet. I will alert my buddy and/or dive leader if I encounter a problem,it’s my duty to immediately notify dive supervisors of any safety concerns or equipment issues.
Personal Responsibility: I accept full responsibility for my conduct and safety. I will not dive beyond my comfort level or training, and I accept that some risks cannot be eliminated.
No-Refund and Cancellation Policy
I understand and agree to the following:
Participant Cancellations: If I cancel my booking less than 24 hours before the scheduled dive time or do not show up for the scheduled dive, I will not receive a refund and will be responsible for the full amount of the booking.
Operator Cancellations: If the dive operator cancels due to weather, safety, or other valid reasons beyond their reasonable control, I may be offered an alternative date, credit, or refund at the dive organizer or dive facility discretionwithin 30 days of cancellation.
Ineligibility or Misconduct: If I am denied participation due to my actions (e.g., showing up intoxicated or unfit for physical activities), or failure to complete requirements (e.g., paperwork), I will not receive a refund.
Voluntary Discontinue: Participants understand that if they voluntarily discontinue or withdraw from a dive or training activity for any reason (including but not limited to anxiety, discomfort, including physical discomfort, panic, or a change of mind), I will not be entitled to any refund of fees or deposits paid for that activity. This no-refund policy applies regardless of when the participant chooses to exit the activity, meaning that any portion of the dive or course not completed will be forfeited.
Acknowledgment and Signatures
By signing below, I confirm that I have read and understood this document and all of it sections. I am voluntarily waiving certain legal rights, including the right to sue in the event of injury or death, the right to choose Laws and venue or jurisdiction, and agree that this release is govern by the applicable law and Courts of the Mexico’s State of Quintana Roo, I Digitally sign this agreement freely and intend to be legally bound by its terms, and accept and recognized my digital signature as a valid as hand written for all effects,
I confirm I am at least 18 years old and legally competent to sign. If the participant is under 18, both a parent or legal guardian must sign below and provide proof of their relationship to the minor participant. The undersigned parent or guardian agrees to be bound by all terms of this agreement on behalf of the minor participant.