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Medical liability waiver

Remplissez le formulaire ci-dessous sans créer de compte. Votre adhésion est ajoutée automatiquement après votre soumission.

I acknowledge that diving and watersports involve inherent risks, including drowning, injury, illness, changing sea and weather conditions, and equipment issues.

I agree to follow staff safety instructions, use equipment properly, and immediately disclose any medical condition, medication, or prior injury that may affect my participation.

I agree not to throw, release, or discharge anything into the sea, and to respect marine life and applicable environmental rules.

I release the centre, its owners, employees, instructors, contractors, and affiliates from claims or damages arising from my participation, including injury, death, or property damage, to the extent permitted by the laws of the Kingdom of Saudi Arabia.

I understand this acknowledgement does not waive liability for gross negligence or wilful misconduct under applicable law.

Détails

Numéro de portable
Téléphone à contacter en cas d'urgence

Questionnaire médical de plongée

Répondez oui ou non à chaque question. Tout oui peut nécessiter l’autorisation d’un médecin avant de plonger.

1.Are you pregnant or trying to become pregnant?

2.Do you regularly take prescription or over-the-counter medication (other than contraception or malaria prophylaxis)?

3.Are you over 45 with at least one risk factor (early family heart disease, smoking, high blood pressure or cholesterol, or a sedentary lifestyle)?

4.Have you ever had heart or circulation problems (heart attack, angina, heart surgery, pacemaker, or a blood clot)?

5.Do you have lung or chest disease (asthma, pneumothorax, emphysema, or tuberculosis)?

6.Do you have ear, sinus, or balance problems that make equalising pressure difficult?

7.Have you had seizures, a stroke, repeated fainting, or a neurological illness?

8.Do you have diabetes that requires medication or insulin?

9.Have you had recent surgery, an unhealed injury, or a hernia?

10.Do you have severe allergies or allergic attacks that affect breathing?

11.Do you have a mental-health condition or substance dependence that could affect judgement or safety underwater?

12.Do you have any other medical condition not listed above?

Medical liability waiver

I acknowledge that diving and watersports involve inherent risks, including drowning, injury, illness, changing sea and weather conditions, and equipment issues.

I agree to follow staff safety instructions, use equipment properly, and immediately disclose any medical condition, medication, or prior injury that may affect my participation.

I agree not to throw, release, or discharge anything into the sea, and to respect marine life and applicable environmental rules.

I release the centre, its owners, employees, instructors, contractors, and affiliates from claims or damages arising from my participation, including injury, death, or property damage, to the extent permitted by the laws of the Kingdom of Saudi Arabia.

I understand this acknowledgement does not waive liability for gross negligence or wilful misconduct under applicable law.

Dessinez votre signature avec un doigt ou une souris à l'intérieur de la boîte.