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I Hereby Affirm That I Am a Snorkeler, Certified Diver, Nitrox Diver, Technical

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I Hereby Affirm That I Am a Snorkeler, Certified Diver, Nitrox Diver, Technical BOAT AND SCUBA DIVING VOLUNTARY RELEASE, WAIVER AND ASSUMPTION OF RISK RENTAL BCD REG Weights Mask Fins Wetsuit Light Tank Comp. I hereby affirm that I am a snorkeler, certified diver, nitrox diver, technical diver or a student diver under the control and supervision of a certified scuba instructor, and that I thoroughly understand the hazards of scuba diving including those hazards occurring during boat travel to and from the dive sites. I understand that these hazards include, but are not limited to, air expansion injuries, drowning, decompression sickness, slipping or falling while on board, being struck by a boat while in the water, injuries occurring while getting on or off a boat, and other perils of sea. By signing this release, I certify that I am fully aware of and expressly assume these and all other risks involved in making such a dive or dives, whether conducted as a recreational dive, nitrox dive, technical dive, or part of a diving class or snorkel trip. I understand and agree that neither GO WEST DIVING , OCEAN ENCOUNTERS, nor any of its respective employees, owners, officers, agents or assigns, nor the crew or owners of the vessels, nor the vessel, nor International PADI inc., nor its affiliate or subsidiary corporations, (hereinafter “Released Parties”) may be held liable or responsible in any way for any occurrence on any dive trip with GO WEST DIVING , that may result in personal injury, property damage, wrongful death or other damage to me or my family, heirs, or assigns that may occur as a result of my participation in these boat trip(s), snorkel trip(s) and scuba dive(s) or as a result of the negligence of any party, including the Released Parties, whether passive or active, I further state that I am of lawful age and legally competent to sign this liability release, or that I have obtained the written consent of my parent or guardian. BY THIS INSTRUMENT, I DO HEREBY EXEMPT AND RELEASE ALL THE ABOVE LISTED ENTITIES AND/OR INDIVIDUALS FROM ALL LIABILITY AND RESPONSIBILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH, HOWEVER CAUSED, INCLUDING, BUT NOT LIMITED TO, PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE. I ACKNOWLEDGE THAT I HAVE READ THE FORGEGOING PARAGRAPHS, FULLY UNDERSTAND THE POTENTIAL DANGER INCIDENTAL TO ENGAGING IN THIS AND ALL BOAT TRIPS AND SCUBA (S), AM FULLY AWARE OF THE LEGAL CONSEQUENCES OF SIGNING THIS INSTRUMENT, AND THAT I UNDERSTAND AND AGREE THAT THIS DOCUMENT IS LEGALLY BINDING AND WILL PRECLUDE ME FROM RECOVERING MONETARY DAMAGES FROM THE ABOVE LISTED ENTITIES AND/OR INDIVIDUALS, WHETHER SPECIFICALLY NAMES OR NOT, FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY PRODUCT LIABILITY OR THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE. BY SIGNING THIS INSTRUMENT, I ALSO ACCEPT THE GENERAL TERMS AND CONDITIONS LISTED ON THE BACK PAGE. Name: ……………………………………………… Resort / room: ……………………………………………... Home address: …………………………………… Date of Birth: ………………………………………………. City / ZIP: .………………………………………… Departure Date: …………………………………………… Country: …………………,,,……………………… Certifying Agency: ……………………………………….... E-Mail: ………………………@............................ Total dives: ………… / Date last dive: ………………….. Phone/Cell: ……………………………………….. Level / Diver number: ……………… / ……,,,,,,,,,,,,,,,….. SIGNATURE: …………………………………….. Date: …………………… checked by: …………………... Signature of parent or guardian (if applicable) GENERAL CONDITIONS GO WEST … to the BEST !! RESERVATIONS Reservations will be confirmed by taking a deposit. Cancellations can be made 24 hours in advance without any charge. For cancellations within 24 hours a fee of 25% will be applied. No shows will be charged the full amount. PACKAGES For your convenience, we advise you to sign up ahead of time for all the boat dives that you paid for to reserve your spot. Packages are non-refundable, non- transferable and do not include the organized trips. DIVING All Departures from the Playa Kalki Pier: Daily Boat Departures AM 2 Tank @ 8:30am PM 1 Tank @ 2:00pm Wednesday and Saturday Snorkel Trips @ 2:00pm Please check in at least 20 minutes prior to departure or you may loose your spot. Special trips departures please check in our dive shop or at the Tour Desk at the Lodge Kura Hulanda. RENTAL EQUIPMENT A deposit will be kept until the equipment is returned, rinsed and in the same condition as you originally rented it from us. The equipment will be charged to your account for every day it’s not in our possession. PAYMENT OPTIONS We accept American dollars, Antillean guilders, traveler checks, debit and credit cards. Next to paying right away, we offer you the possibility to open up a tab with us. We will take an imprint of your credit card as a deposit for this option. TIPPING It’s highly appreciated to tip our employees for the service they provide. We recommend you to place your tip in the tip box, to equally reward all members of our dive team. GO WEST Diving EQUIPMENT RENTAL AGREEMENT Last name, First name: ___________________________________ Local phone: ____________________________________ Hotel, room #: ___________________ Departure date: __ / __ / _____ Locker: __________ Remarks: ____________________ BCD Reg Weights Mask Fins Wetsuit Light Tank Kayak Comp. Received Receive date Return date Returned to from Initials Size/Nr. Number Pounds Number Size Size/Nr. Number Number Number Number 1 2 3 4 5 6 RENTER acknowledges that the equipment is in good working condition and that he/she has examined the equipment to ensure that it is free from defects, including checking both quality and quantity of air in any scuba tank(s) rented. RENTER also understands that GO WEST DIVING and its employees, owners, officers, or agents (hereinafter Released Parties), shall not be held liable or responsible in any way for any injury, death or other damages to RENTER or his/her family, heirs, or assigns which may occur as a result of the rental and/or use of the equipment or as result of product defect, or the negligence of any party, including the Released Parties, whether passive or active. Tanks need to be returned with a minimum of 300PSI/20bar. Keep equipment free of sand. REPLACE THE DUST CAP ON THE REGULATOR BEFORE RINSING. For missing damaged equipment, RENTER will be charged the replacement value. YELLOW COPY MUST BE RETURNED TO THE DIVESHOP FOR CHECK OUT! .
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