Spring 2021 PADI Open Water Diver Certification Information Dive Oahu will be providing a group discount for the PADI Open Water Scuba Course to all HPU students that want to attend. The course includes eLearning instructional materials, equipment rental (tanks, regulator, BCD, weights, wetsuit), two pool sessions over two days, and four open water boat dives over two days. The student will be required to provide Scuba quality mask, fins, and snorkel. Dive Oahu will provide a 15% discount to HPU students signed up for the course if they wish to purchase equipment at our Kaka’ako location, 609 Keawe St. The course will start when the student signs up and pays for the course. They will be sent an eLearning code to complete the course work PRIOR to the first day of class. The eLearning Course takes approximately 8 to 14 hours. The schedule will be as follows: • Wednesday, March 10th at 5 pm (location on HPU campus, TBA): o 5:00 pm – 8:00 pm – Introduction, Quick Review quiz, gear tutorial, and mask/snorkel/fins check. Must bring your completed/printed eLearning Record and mask/snorkel/fins • Saturday, March 13th: o 11 am – 5:00 pm – Swim test and confined water skills. Must bring mask/snorkel/fins, swimsuit, and towel. • Saturday, March 20th: o 11 am – 5:00 pm – Completion of confined water skills not finished. Must bring mask/snorkel/fins, swimsuit, and towel. • Saturday, March 27th: o 1:30 pm – 6:00 pm – Open Water Dives 1 & 2 . Must bring mask/snorkel/fins, swimsuit, towel, and logbook (logbook given on orientation night). • Saturday, April 3rd: o 1:30 pm – 6:00 pm – Open Water Dives 3 & 4 . Must bring mask/snorkel/fins, swimsuit, towel, and logbook. Cost of the course is $335 + tax. More info: • Students must be able to answer ‘NO’ to all questions on the attached medical statement (document will be attached to enrollment confirmation email). If a student answers ‘YES’ to any of the questions, the student must have a doctor sign off on the medical statement. • Must bring the completed/printed eLearning Record and mask/snorkel/fins to the first night of class. • Student must be familiar with the recreational dive planner and print it out (I’ve attached a pdf version for you) on the first night of class. Students will need it for the Quick Review Quiz. I’ll provide sample questions to all students when they sign up. • Students must attend ALL sessions. Failure to attend a session may result in a make up fee of $125 for each session needed. Link to enroll: https://fareharbor.com/embeds/book/diveoahu/items/78940/availability/603486074/book/?full-items=yes Need more information? Contact Sara Education Coordinator, Dive Oahu work cell: 808-388-8148 MEDICAL STATEMENT Participant Record (Confidential Information) Please read carefully before signing. This is a statement in which you are informed of some potential risks established safety procedures are not followed, however, there are involved in scuba diving and of the conduct required of you during the increased risks. scuba training program. Your signature on this statement is required for To scuba dive safely, you should not be extremely overweight or you to participate in the scuba training program offered out of condition. Diving can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air by_____________________________________________________and spaces must be normal and healthy. A person with coronary disease, a Instructor current cold or congestion, epilepsy, a severe medical problem or who is under the influence of alcohol or drugs should not dive. If you have _______________________________________________located in the asthma, heart disease, other chronic medical conditions or you are tak- Facility ing medications on a regular basis, you should consult your doctor and the instructor before participating in this program, and on a regular basis city of_______________________, state/province of _______________. thereafter upon completion. You will also learn from the instructor the important safety rules regarding breathing and equalization while scuba Read this statement prior to signing it. You must complete this diving. Improper use of scuba equipment can result in serious injury. You Medical Statement, which includes the medical questionnaire section, to must be thoroughly instructed in its use under direct supervision of a enroll in the scuba training program. If you are a minor, you must have qualified instructor to use it safely. this Statement signed by a parent or guardian. If you have any additional questions regarding this Medical Diving is an exciting and demanding activity. When performed Statement or the Medical Questionnaire section, review them with your correctly, applying correct techniques, it is relatively safe. When instructor before signing. Divers Medical Questionnaire To the Participant: The purpose of this Medical Questionnaire is to find out if you should be exam- Please answer the following questions on your past or present medical history ined by your doctor before participating in recreational diver training. A positive with a YES or NO. If you are not sure, answer YES. If any of these items apply to response to a question does not necessarily disqualify you from diving. A positive you, we must request that you consult with a physician prior to participating in response means that there is a preexisting condition that may affect your safety scuba diving. Your instructor will supply you with an RSTC Medical Statement and while diving and you must seek the advice of your physician prior to engaging in Guidelines for Recreational Scuba Diver’s Physical Examination to take to your dive activities. physician. _____ Could you be pregnant, or are you attempting to become pregnant? _____ Dysentery or dehydration requiring medical intervention? _____ Are you presently taking prescription medications? (with the exception of _____ Any dive accidents or decompression sickness? birth control or anti-malarial) _____ Inability to perform moderate exercise (example: walk 1.6 km/one mile _____ Are you over 45 years of age and can answer YES to one or more of the within 12 mins.)? following? _____ Head injury with loss of consciousness in the past five years? • currently smoke a pipe, cigars or cigarettes • have a high cholesterol level _____ Recurrent back problems? • have a family history of heart attack or stroke _____ Back or spinal surgery? • are currently receiving medical care • high blood pressure _____ Diabetes? • diabetes mellitus, even if controlled by diet alone _____ Back, arm or leg problems following surgery, injury or fracture? Have you ever had or do you currently have… _____ High blood pressure or take medicine to control blood pressure? _____ Asthma, or wheezing with breathing, or wheezing with exercise? _____ Heart disease? _____ Frequent or severe attacks of hayfever or allergy? _____ Heart attack? _____ Frequent colds, sinusitis or bronchitis? _____ Angina, heart surgery or blood vessel surgery? _____ Any form of lung disease? _____ Sinus surgery? _____ Pneumothorax (collapsed lung)? _____ Ear disease or surgery, hearing loss or problems with balance? _____ Other chest disease or chest surgery? _____ Recurrent ear problems? _____ Behavioral health, mental or psychological problems (Panic attack, fear of closed or open spaces)? _____ Bleeding or other blood disorders? _____ Epilepsy, seizures, convulsions or take medications to prevent them? _____ Hernia? _____ Recurring complicated migraine headaches or take medications to pre- _____ Ulcers or ulcer surgery ? vent them? _____ A colostomy or ileostomy? _____ Blackouts or fainting (full/partial loss of consciousness)? _____ Recreational drug use or treatment for, or alcoholism in the past five _____ Frequent or severe suffering from motion sickness (seasick, carsick, years? etc.)? The information I have provided about my medical history is accurate to the best of my knowledge. I agree to accept responsibility for omissions regarding my failure to disclose any existing or past health condition. _______________________________________ _________________ _______________________________________ _________________ Signature Date Signature of Parent or Guardian Date PRODUCT NO. 10063 (Rev. 06/07) Ver. 2.01 © PADI 1989, 1990, 1998, 2001, 2007 Page 1 of 6 © Recreational Scuba Training Council, Inc. 1989, 1990, 1998, 2001, 2007 STUDENT Please print legibly. Name__________________________________________________________________________ Birth Date ________________ Age ________ First Initial Last Day/ Month/Year Mailing Address __________________________________________________________________________________________________________ City________________________________________________________________ State/Province/Region ________________________________ Country ____________________________________________________________ Zip/Postal Code _____________________________________ Home Phone ( )________________________________________ Business Phone ( )______________________________________ Email _____________________________________________________ FAX_______________________________________________________ Name and address of your family physician Physician __________________________________________________ Clinic/Hospital ______________________________________________ Address________________________________________________________________________________________________________________ Date of last physical examination ________________ Name of