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Medical liability waiver

Vul het onderstaande formulier in zonder een account aan te maken. Uw lidmaatschap wordt automatisch toegevoegd nadat u zich heeft aangemeld.

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.

Details

Mobiel nummer
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Duik medische vragenlijst

Antwoord op elke vraag ja of nee. Voor elk ja is mogelijk een toestemming van een arts vereist voordat u gaat duiken.

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.

Teken uw handtekening met een vinger of muis in het vak.