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Every diver is aware and responsible for his behavior and his actions, both inside and outside

the water. The information we submit to you, sign it with a sense of civility and be responsible.

QUESTION TO PARTICIPATE IN

RECREATIONAL DIVES. REGULATION AND PROCESSING OF

PERSONAL DATA.

VERS. ENGLISH

1

QUESTION, DIVE REGULATION and INFORMED CONSENTSURNAME:

SURNAME...... NAME...... BORN IN...... PROV ...... ON DATE ...... RESIDENT TO ...... ADDRESS ...... NR ...... C.A.P ...... I.C.E. (In Case of Emergency) contact: ...... tel……………...... first name…………………………………………………………………………………………………… PATENT LEVEL ...... (OPEN, ADVANCED, RESCUE, , MSD, ISTRUCTOR) PATENT NR...... AGENCY / TEACHING: ...... PATENT DATE: ...... IN ……………………………………….. STATE………………………………….. RELEASE SCHOOL OR INSTRUCTOR: ...... TOTAL NUMBER OF DIVE ...... DATE and PLACE LAST IMMERSION .... / .... / ...... TO ASK

To take part at nr ...... diving to be carried out in the days ...... in ……………………………. locations ...... STATE……………………………………….. PROV;

To take part in the dives to be carried out at the time and place indicated in the attached individual presence of the underwater;

undersigns and acknowledges that a) The person responsible for the dive and / or dive guide for SCUBA WORLD ASD may, if the weather conditions require it and for safety reasons, suspend or change the location chosen for the dive; b) The person responsible for the dive and / or dive guide for SCUBA WORLD ASD will decide the number of participants and the underwater couples, at its unquestionable and irrefutable judgment, according to the laws and the local, national and international regulations in . each diver belonging to the group, from the level of certifications, the diving program and the sea conditions; c) The person in charge of the dive and / or Sub-Guide for SCUBA WORLD ASD, regardless of the patent held by each individual diver, can ask the participant for a control dive to verify the training skills of the same; d) The person responsible for the dive and / or dive guide for SCUBA WORLD ASD will ask for time, maximum depth and air consumption and will be able to interrupt the dive for the whole group, if it deems it necessary for the unquestionable judgment. security reasons for the whole group; e) The person responsible for the dive and / or dive guide for SCUBA WORLD ASD will be able to refuse, at its sole discretion and irrefutable judgment, the performance of the dive for those who consider a danger to themselves or others, to those who do not respect the environment marine, who does not use adequate equipment, who uses video and photographic equipment, who does not have inflatable surface ball and does not respect the conditions and rules mentioned above and below; f) It is mandatory, under the responsibility of the individual participant, to know the international dive signals and to perform the pre-dive torque control; g) Each diver is responsible for all his ARA equipment, his loading and unloading at the beach, on the boat or on the site immersion, even in such a way that it does not constitute an obstacle or danger to itself or to the other participants; h) Upon entry into the water, each diver must wait for his group on the surface, wait for the signal to begin the descent of the Instructor or Sub Guide and in no case dive without the permission of the dive manager; i) In case of renunciation of the dive due to lack of compensation, seasickness, various illnesses occurring 2 on the boat or on the dive site, the Member will still be required to pay the participation fee in full; j) SCUBA WORLD ASD is not responsible for miscellaneous material and ARA equipment left unattended in the boat or on the dive site; k) In the case of guided dives, the task of the Sub Guide will be to conduct a pre-, to plan the dives, to illustrate the characteristics of the seabed, to facilitate observation while respecting the surrounding habitat, but in no case to supervise the participants who must, independently and independently, comply with the safety standards laid down by the patent in their possession, plunging under their own direct responsibility (Autonomous Diver EN 14153-2; ISO 24801-2) l) Underwater activity is absolutely contraindicated to pregnant women, presumed or established; m) dives are ABSOLUTELY FORBIDDEN except in possession of the patent or equivalent patents of another educational agency. n) It is PROHIBITED to bring underwater guns while diving with A.R.A., to damage or remove fauna or flora, live or dead, underwater or from the beach, under penalty of IMMEDIATE NOTICE at the Competent Authorities (Park Authority, Coast Guard, CFS etc.) o) IT IS FORBIDDEN to exceed the depth reached by the Instructor and / or Guide. I DECLARE UNDER MY LIABILITY 1. Being in physical and mental health conditions suitable for diving and not being under the influence of drugs, alcohol, sleeping pills and other dangerous medicines. 2. To be in possession of a diving license with ARA and to be able to perform in self-sufficient form, tourist-, within the limits/requirements for which it has been trained (Autonomous Diver EN 14153-2; ISO 24801- 2). 3. To carry out the activity by following the directives, conditions and advice of the staff members and NEVER exceeding the depth reached by the Instructor and / or Guide. 4. Never immerse yourself alone, dive with your partner and / or group. Always remain at such a distance as to be visible and reachable and again, to re-emerge and reach the boat or the exit point with your partner and / or group. 5. To dive within the limits of non-decompression and if in possession of the specialty patent DEEP DIVER (Deep Dive), to reach the depth of not more than 39 meters; if you use mixtures of -enriched air (EAN), be provided with the relevant patent and perform dives within the limits of non-hypertia and non-decompression provided for in the tables for the percentage of oxygen used; in the case of technical dives or using ternary mixtures, to be provided with the relative patent (DECOMPRESSION DIVER, DEEP AIR, etc.) and to respect the relative limits and prescriptions. 6. To always use reliable and adaptable equipment to the conditions of the dive, to have controlled the operation of all the equipment, both own and entrusted in use by SCUBA WORLD ASD, committing to return the latter in perfect working order, penalty payment any repairs necessary or equal to the value of the equipment itself irremediably compromised or lost. To have carefully inspected all the A.R.A own or rented equipment, determining that it works correctly, the tank is sufficiently charged according to the type of dive to be carried out and has accepted the A.R.A equipment following this check; 7. To be equipped with a stabilizing jacket (GAV), FAA, and PEDAGNO or inflatable surface ball (Ministero delle infrastrutture e dei trasporti, Decreto 29 luglio 2008, n. 146, art. 91 comma 3, Regolamento di attuazione dell'art. 65 del decreto legislativo 18 luglio 2005, n. 171, recante il codice della nautica da diporto). 8. To comply with local, national and international rules and laws that regulate diving activity. 9. To maintain a behavior that does not cause damage, harassment or disturbance to others, animals or other things. 10. To take responsibility for any damage caused to people, things and animals including damage to himself, his property and animals. 11. To be aware that, even if the dive is carried out with all the appropriate safety procedures, the DECOMPRESSION DISEASE can also occur. 12. To accept under their own responsibility to undergo hyperbaric treatment which may become necessary thereafter to incident and raise SCUBA WORLD ASD, the person in charge of it, the Instructors, the Staff, the DIDACTICS, the Diving Center and / or Service Company, the Hyperbaric Center, from any responsibility on the side and secondary effects of the treatment, well aware of the risks that this may entail and to provide for the payment of all the financial burdens of this operation. 13. To further authorize, in case of loss of knowledge, the SCUBA WORLD ASD, the Instructors, the Staff or the personnel that may be delegated, their transport to the hyperbaric center and any necessary care, especially normobaric 100% of O2, relieving them from the aforementioned responsibilities, renouncing from now on any future legal action against them and providing for the payment of all the financial charges of such transaction. 14. To be in possession of a regular medical certificate attesting the suitability for diving. (D.M. 13/09/2012 n. 158 and 24/04/2013, Discipline of the certification of non-competitive and amateur sporting activity) 15. To exempt and raise SCUBA WORLD ASD, the person in charge of the same, the DIDACTICS, the Diving Center and / or Service Company, the other instructors, the assistants and all those indicated as belonging to the Staff of the association in a permanent or temporary way , from all responsibilities for any damage or injury that may be incurred or by death, without any negligence on the part of the aforementioned. 16. To renounce from now to any legal action against SCUBA WORLD ASD, its manager, DIDACTICS, the Diving Center and / or Service Company, other instructors, assistants and all those who are indicated or identified as belonging to the Staff of the association on a permanent or temporary basis, from all responsibilities for any damage or injury that may be sustained or by death, without the existence of negligence on the part of the aforementioned. 17. To exempt and raise SCUBA WORLD ASD, the person in charge of the same, the DIDACTICS, the Diving Center and / or Service Company, the other instructors, the assistants and all those indicated as belonging to the Staff of the association permanently or temporarily , from any responsibility in respect of accidents, accidents or death in which it should incur before, during and after the dive, due to non-compliance with what is expressly stated in this application and Immersion Regulation and Disclaimer. 18. To be in the legal and legal age to sign this exemption, or to have obtained the written consent of the parents or guardians, who countersign the present. 19. To have understood that the terms contained herein are "contractual" and not a mere presentation of the facts, to have received all the necessary clarifications, to have fully understood the contents of this statement that I have read before signing, to have signed for my free choice, fully aware of the responsibilities, civil and criminal, arising from false and false declarations. 20. To have received the information referred to in art. 13 of the legislative decree n. 196/2003, to give my consent to the processing of personal data requested by you, declaring to have had knowledge that the same data also include data that fall under the notion of "sensitive data (art. 4 del d.lgs. n. 196/2003.) 3

Read, understood, accepted and signed

...... , lì...... (signature)......

For the minor signature, whoever exercises parental authority SURNAME AND NAME……………………………………………………………………………………………………………………………………………………….. PLACE/DATE OF BIRTH…………………………………………………………………………………………………………………………………………………….. IN THE QUALITY OF (MOTHER, FATHER)…………………………………………………………………………………………………………………………...

(signature)......

...... , lì......

Per SCUBA WORLD ASD,

Il Responsabile......

4

SCHEDA IMMERSIONI

DIVER

DATE NAME DIVE SIGNATURE 1 NAME 2 3 ______4 5 6 SURNAME 7 ______8 9 10 BORN

______

LICENCE

NR.

______TOTALE IMMERSIONI DIDATTICA

______

______Lì______/______/______

IL RESPONSABILE

______