Diverlog Form Digital 4

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Diverlog Form Digital 4 Stoney Cove_Layout 1 19/08/2013 16:06 Page 1 Stoney Cove Regulations • Always follow the Stoney Cove recommendations for responsible diving and the safe diving practices of your dive training association, eg: BSAC, PADI, SAA etc. • Carry your Diverlog registration card with you at all times, even in the water. • Do not dive solo and, if you become separated from your buddy or group ascend and rejoin at the surface. • You must meet the minimum age requirements of your training National Diving Centre For postage applications, one of our association and be no younger than 12 years old. Junior registration team will call you for participants must be closely supervised by qualified adults. payment. • All diving schools, instructors and other divers, who use Stoney Cove in an ‘at work’ situation, i.e. receive payment or some other form of As a favour or reward must operate within the requirements of the Diving at Work Regulations 1997 and notify us of any diving project conducted Stoney Cove at Stoney Cove. • The use of images still or moving of any part of Stoney Cove for registered WARNING commercial purposes requires specific permission. • Wear a buoyancy aid at all times. diver you • Plan your dives with consideration to our regulations, recommendations and information we provide. Read our notices, if will receive Important Notice unsure ask us, assess the risks associated with Stoney Cove and its Scuba diving can be dangerous, features, if in doubt don’t dive! • Diver Propulsion Vehicles can only be used with extreme caution, and incidents can occur, sometimes with never in poor visibility. fatal consequences. • Do not dive outside the displayed opening times. • A personal All divers have responsibility for their • When using a rebreather, use a Surface Marker Buoy throughout your dive or use a delayed SMB to mark your ascent. Diverlog registration own safety. Instructors, dive guides, • Used Sodalime from rebreathers must be disposed of away from card not transferable and diving buddies have a duty of Stoney Cove. The Diver’s Guide to Stoney care for those who are diving with • Do not run, shout, wave, or blow whistles unless there is an • emergency. Cove including: them. Divers are reminded that they • Do not damage or remove pieces from the objects of interest in the Details for dive planning have the responsibility for the first water, or cause any harm to the wildlife above or below the water. Rescue plan actions to effect a successful rescue. • Keep the volume of car radios down. • Do not leave children unsupervised. Aquatic life guide • All dogs must be kept on a lead - please clean up after them. Other interesting Stoney Cove • Do not use any naked flame device, including BBQs. facts and information • Please drive vehicles slowly with care, do not obstruct any roadway or access and have respect for each other and our neighbours. • Discounted entrance fee to • The decanting of oxygen or the use of portable compressors is not Stoney Cove permitted anywhere on the site. • Please follow all directions given by Stoney Cove staff. • Pre-booked waterside parking available Stick to the rules. We reserve the right to refuse entry, suspend or cancel the Diverlog registration of any diver or contractor who contravenes the Stoney Cove Regulations. vr.7/13 Stoney Cove, Stoney Stanton, Leicestershire, LE9 4DW application form Tel: 01455 273089 Fax: 01455 274000 July 2013 Temporary ID Website: www.stoneycove.com Stoney Cove_Layout 1 19/08/2013 16:06 Page 2 Do you have any medical condition which we Application for should be aware of in case of an emergency? declaration and registration PLEASEP USE YES NO If YES please give details below acknowledgement BLOCK CAPITALS All the above information is true and complete I declare: G I will not undertake any dive in Stoney Cove unless personal details I am competent to complete the dive successfully, or G I am receiving appropriate instruction/supervision. Name: G I am medically fit to dive. G Male/Female: Date of Birth: I acknowledge: And agree to abide by the Stoney Cove regulations and recommendations. Address: G That Stoney Cove is used entirely at my own risk and Are you allergic to drugs? that the operators accept no responsibility for loss or If so please state which damage to individuals or their property. G That the Stoney Cove rescue team are not part Postcode: YES NOI If YESI please give details below of the Emergency Services, however they will respond in Home Tel: an emergency and assist to the best of their competence and ability. Mobile: E-mail: Signed Date Profession For divers and snorkellers under 18 years, parent or guardian signature Diving Affiliation. Please tick appropriate. In case of an emergency please contact: BSAC SAA SAA PADI PADI OtherOther Other Name: Signed Date Diving Qualification Address: Please state current level of air diving qualification: Postcode: Tel: Please tick this box if you intend to use Stoney Please complete the form and then print it as Name of Club/School a pdf file. Then email the form along with a Cove in any at work situation e.g. filming, digital passport photograph of yourself to photography, underwater engineering [email protected] You will then Diving Experience receive a call to confirm your details and Please tick this box if you intend to do take payment. Receiving tuition through a club independent instruction or operate your Dive Receiving tuition through a school School at Stoney Cove G Diving 1 – 3 years Stoney Cove will provide additional information to assist schools, instructors and other working divers in meeting their HSE obligations. Diving 3+ years G You are required to identify yourself if you use Stoney Cove to give instruction or perform any diving work for payment or some other I complete on average: number of dives per year form of favour or reward. Your Diverlog Card will 0 – 20 20 – 50 50+ be sent to you by post G The information you have provided us with is for use within the Stoney I use gas mixes other than air Cove Registration system. From time to time we will send out information about site developments. I use a rebreather G In addition we may wish to send you other information. I plan to use a rebreather Please tick if you do not wish to receive this.
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