Dive Fest Ocean Awareness Program
Please complete all areas on this form before submitting. You child's form will be reviewed and you will be contacted directly if they are selected to be apart of the Ocean Awareness Program.
Email address *
Name of Child *
Your answer
Sex of Child *
Age of Child *
Your answer
Home Address *
Your answer
Your child's current swimming ability
Parent/Guardian Name(s) *
Your answer
Parent/Guardian Phone Number(s) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Does your child/ward suffer from any mental and/or physical disease, illness or disability which would render them unfit for any water sports activities, learning to swim or scuba diving? *
Does your child/ward suffer from any type of asthmatic condition/illness? *
The company shall not be liable under any circumstances whatsoever, to any person for any injury, loss or damage maintenance that can arise from any injury and/ or illness sustained by such persons while engaged in diving, snorkelling or any water sports caused or occasioned by reason of the perils or dangers of the sea or by reason of the act, omission, negligence or default of any other divers, snorkelers, person or persons engaged in water sports or as a consequence of an illness or disease or disability which renders such person or persons unfit for diving, snorkelling or any other water sports.
I understand and agree to these terms
A copy of your responses will be emailed to the address you provided.
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