OFFSHORE DIVE CHARTERS

A Nitrox release form must be filled out prior to the trip if you will be breathing Nitrox.

PRINT THIS FORM OUT, FILL IT IN AND PRESENT IT TO THE CAPTAIN, PRIOR TO DEPARTURE

Liability Release and Assumption of Risk for Enriched Air (Nitrox) Diving

Please read carefully. Fill in all blanks and initial each paragraph before signing.

_____________________________________ hereby affirm that I have been advised and thoroughly informed of the inherent

hazards of skin diving and scuba diving and the particular hazards of scuba diving with oxygen enriched air.

______ I understand that diving with oxygen enriched air ("Enriched Air") involves certain inherent risks of oxygen toxicity and/or

 improper mixtures of breathing gas. Also, I understand the usual inherent risks of scuba diving; including, but not limited to, 

decompression sickness, air embolism, drowning, or other injuries; may occur that require treatment in a recompression chamber.

______ I fully understand the maximum safe depth limits for diving with Enriched Air and the consequences of exceeding limits, which

can include oxygen toxicity, convulsions, drowning and death.

______ I understand and agree that Off Shore Dive Charters. Inc. or the owners, Dan Lindley and crew, (hereafter referred to as

"Released Parties") may not be held liable or responsible in any way for any injury, death, or other damages to me or my family, heirs,

 or assigns that may occur as a negligence of any party, including the Released Parties, whether passive or active.

______ In consideration of being allowed to dive with Enriched Air, I hereby personally assume all risks in connection with said

diving, for any harm, injury or damage that may befall me while I am diving with Enriched Air, including all risks connected therewith,

whether foreseen or unforeseen.

______ I further save and hold harmless “Released Parties” from any claim or lawsuit by me, my family, estate, heirs, or assigns,

arising out of my enrollment and participation in this Enriched Air diving.

______ I also understand that skin diving and scuba diving are physically strenuous activities and that I will be exerting myself during

this diving and that if I am injured as a result of a heart attack, panic, hyperventilation, etc., that I expressly assume the risk of said

injuries and that I will not hold the above listed individuals responsible for the same.

______ I further state that I am of lawful age and legally competent to sign this liability release, or that I have acquired the written

consent of my parent or guardian.

______ I understand that the terms herein are contractual and are not a mere recital, and I have signed this document of my own free

act.

IT IS THE INTENTION OF ____________________________________________TO EXEMPT AND RELEASE OFF SHORE

DIVE CHARTERS INC., THE OWNER DAN LINDLEY AND CREW, AS DEFINED ABOVE, FROM ALL LIABILITY OR

RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH HOWEVER

CAUSED, INCLUDING, BUT NOT LIMITED TO, THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR

ACTIVE. 

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS LIABILITY RELEASE AND EXPRESS ASSUMPTION OF

RISK BY READING IT BEFORE I SIGNED IT ON BEHALF OF MYSELF AND MY HEIRS.

PRINTED NAME

____________________________________________________

PARTICIPANT'S SIGNATURE DATE (DAY/MONTH/YEAR)

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SIGNATURE OF PARENT OF GUARDIAN (where applicable) DATE (DAY/MONTH/YEAR)

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