WAIVER AND ASSUMPTION OF RISK

I, ____________________________________, hereby voluntarily sign this Waiver and Assumption of Risk in favor of ___________________________________________ (the “Company”), fully waiving and releasing the Company from any and all claims for personal injury, property damage, or death that may result from my use of the Company’s facilities or property, or from my participation in the following activities or instruction (“activities”):

SCUBA diving and snorkeling, including, but not limited to, instruction from the company’s employees, and use of the Company’s swimming pool, boat, dock, and diving and snorkeling equipment.

I sign this Waiver and Assumption of Risk in consideration of the opportunity to use the Company’s facilities or property, receive instruction from the Company and its employees, or to participate in Company-sponsored activities as described above.

I acknowledge and understand that there are dangers and risks associated with the activities described above, which have been fully explained to me. I fully assume the dangers and risks, and agree to use my best judgment in engaging in those activities and to follow the safety instructions provided.

I am a competent adult, aged _______, and I freely and voluntarily assume the risks associated with the activities described above.

Dated: _________________________

Witness: __________________________ _________________________________

Name: ____________________________ Address: __________________________ Telephone: ________________________

In case of emergency, please contact:

Name: ____________________________ Address :________________________________ Relationship: ______________________ Telephone: ________________________