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Please answer Yes or No to each item below that applies to you.
You must obtain medical clearance from a licensed physician before diving. Download the official PADI Medical Examiner's Evaluation Form below, take it to your doctor, and bring the completed form to Pilgrim Divers on your program date.
I understand and agree that Pilgrim Divers is a licensed PADI Member and is authorised to use PADI trademarks and conduct PADI training programmes. However, Pilgrim Divers is not an agent, employee or franchisee of PADI Americas, Inc. or its parent, subsidiary or affiliated corporations. Pilgrim Divers operates independently and its business activities are neither owned nor operated by PADI. While PADI establishes training standards, it is not responsible for, nor does it have the right to control, the day-to-day conduct of PADI programmes by Pilgrim Divers or its staff.
I agree on behalf of myself, my heirs and my estate that in the event of injury or death during this activity, neither I nor my estate shall seek to hold PADI liable for the actions, inactions or negligence of Pilgrim Divers and/or the instructors and divemasters associated with the activity.
I understand that as a diver I should:
I understand the importance of these established practices. I recognise they are for my own safety and that failure to adhere to them can place me in jeopardy when diving.
I, the undersigned participant, hereby affirm that I am aware that skin and scuba diving involve inherent risks which may result in serious injury or death.
I understand that diving with compressed air involves certain inherent risks including but not limited to decompression sickness, embolism, or other hyperbaric/air expansion injuries that may require treatment in a recompression chamber. I further understand that open water diving trips necessary for training and certification may be conducted at a site that is remote, either by time or distance or both, from such a recompression chamber. I still choose to proceed with such dives in spite of the possible absence of a recompression chamber in proximity to the dive site.
I understand and agree that neither my instructor(s), Pilgrim Divers (the facility through which I receive my instruction), nor PADI Americas, Inc., nor its affiliate and subsidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns (hereinafter referred to as "Released Parties") may be held liable or responsible in any way for any injury, death or other damages to me, my family, estate, heirs or assigns that may occur as a result of my participation in this diving programme or as a result of the negligence of any party, including the Released Parties, whether passive or active.
In consideration of being allowed to participate in this programme, I hereby personally assume all risks of this programme, whether foreseen or unforeseen, that may befall me while I am a participant, including but not limited to the academics, confined water and/or open water activities.
I further release, exempt and hold harmless the Released Parties from any claim or lawsuit by me, my family, estate, heirs or assigns, arising out of my enrolment and participation in this programme, including claims arising during the programme or after I receive my certification.
I understand that skin diving and scuba diving are physically strenuous activities and that if I am injured as a result of heart attack, panic, hyperventilation, drowning or any other cause, I expressly assume the risk of said injuries and will not hold the Released Parties responsible.
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 guardian. I understand the terms herein are contractual and not a mere recital, and that I have signed this agreement of my own free act with the knowledge that I hereby agree to waive my legal rights.
I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns, or beneficiaries may have to sue the Released Parties resulting from my death. I further represent I have the authority to do so and that my heirs, assigns, or beneficiaries will be estopped from claiming otherwise.