Powered by WebWaiver.com

Sample Online Scuba Diving Waiver


This is an Scuba Diving Online Waiver to be used for demonstration purposes so you can see how our online forms work.  The content is not representative of a full online waiver. Most of our online waivers have more indemnification language which we've excluded in this Scuba Diving Online Waiver sample.

Scuba Diving Voluntary Release, Waiver, and Assumption of Risk
In Case of Emergency Please Contact

I hereby affirm that I am a certified diver or a student diver under the control and supervision of a certified scuba instructor, and that I thoroughly understand that diving with compressed air, oxygen enriched air (Nitox), and trimix supplied by standard open circuit scuba or with semi-closed circuit or closed circuit rebreathers, involves certain inherent risks including air expansion injuries, drowning, decompression sickness, embolism, oxygen toxicity, inert gas narcosis, hypoxia, hypercapnia or other barotrauma or hyperbaric injuries. Such injuries can occur that require treatment in a recompression chamber or medical facility.

I further understand that dive activities can be at remote sites, and isolated by time and distance, from such a recompression chamber or medical facility.

I still choose to proceed with such dives in spite of the absence of a recompression chamber in proximity to the dive site. I also thoroughly understand hazards of scuba diving include those hazards occurring during boat travel to and from the dive site including, but are not limited to, slipping or falling while on board, being cut or struck by a boat while in the water, injuries occurring while getting on or off a boat, and other perils of the sea

Electronic Signature and Acknowledgement
Sign your name to acknowledge your electronic signature of this document.*
Enter the date, and your full name to acknowledge your electronic signature of this document.