WAIVER OF LIABILITY AND EXPRESS ASSUMPTION OF RISK AGREEMENT
	Identifiable data
	Name and surname________________________________________
	Passport Number___________ Date of Birth ___ /___ /______ Day Month Year
	Email__________________________ CerƟfied Level Diving and Organization /
	I voluntarily declare that:
	I know the diving signs and/or the safety rules explained by the staff Date
	approx last dive __ / __ /_____ Day Month Year
	Number of dives to date
	The knowledge I have about diving is: Poor Average Good Excellent
	date of last medical checkup / / Day Month Year
	. ** Please place an X in each box in the following statements.

• I HEREBY ACKNOWLEDGE that snorkeling, freediving, scuba diving, sport fishing and even a boat ride alone, are potentially dangerous activities that carry a risk of serious injury and/or death and/or property damage and I agree to assume all risks associated with it.
• I ALSO RECOGNIZE that diving with compressed air and/or oxygen-enriched air (in (hereinafter referred to as “Nitrox”) carries some inherent risks: Nitrogen syndrome may occur. decompression, embolism, or other hyperbaric injuries requiring treatment in a chamber hyperbaric and I expressly assume all these risks.
• I CERTIFY that I will comply with the ship's safety guidelines and the safety guidelines of the nautical acƟvity that we are going to carry out, in addition to complying with local regulations and legislation.
• I ACKNOWLEDGE that there are additional risks associated with a boat trip in relation to my participation in the Cruise, including, but not limited to, slipping or falling while encounter on board, cuts or blows caused by a boat while I am in the water, injuries caused when entering or leaving the boat and other dangers of the sea; all of them may result in serious injury or death and I expressly assume all such risks.
• ALSO, I UNDERSTAND that the Cruise and associated nautical activities may take place in places far away, either by time, distance, or both, from a camera hyperbaric and emergency health care centers. Even so, I decide to make these activities despite the possible absence of a hyperbaric chamber or care centers emergency health center near the place of immersion.
• By signing this Waiver of Liability and Express Assumption of Risk Agreement (as hereinafter, the “Agreement”), I certify that I am fully aware of and expressly assume said risks and all other risks involved in carrying out said boat trip, land excursions and dives, carried out as leisure dives or as part of a diving class.
• I UNDERSTAND that without proper training, entering a swimming space, such as a cave or inside a wreck, is dangerous and increases the risks associated with diving.
• By signing this Agreement, I certify that I am fully aware and expressly assume these and all other risks associated with said dive or dives, whether performed as leisure dives or as part of a diving course. I also assume that the Sao Vicente Tours excursions may entail risks inherent to the contracted tour.
• I UNDERSTAND AND AGREE that neither the divemaster/dive supervisor/instructor; nor the crew; neither the owners of the ship; nor the operator thereof, including all its subsidiaries; not even his own ship, nor the company SAO VICENTE TOURS, nor the companies in its group or subsidiaries; nor their directors, directors, shareholders, employees, agents, contractors or assignees of the persons and/or entities indicated above (hereinafter, “Released Parties”) will be considered responsible in any way for any bodily injury, material damage, death due to negligence or other damages caused to me or my family, my property, heirs or assignees, as a result of my participation in the Cruise and/or nautical activities.
• I DECLARE that I am in good physical and mental health to do these nautical activities, that I do not suffer from any medical condition contraindicated for snorkeling, that I will not do no aquatic acƟvity under the influence of alcohol, nor under the influence of any drug Contraindicated for any aquatic activity. If you are taking any medication, I declare that I have consulted a doctor and am authorized to dive in the conditions of this activity while under the influence of medication/drug.
• I understand that, if I suffer from any condition contrary to nautical activities, I must present a diving or attitude medical certificate completed by a doctor specialized in diving (ANNEX B - HEALTH DECLARATION).
• I UNDERSTAND the dangers of holding my breath while diving or snorkeling and do not I will not hold the Released Parties or related entities (such as employees, instructors, boat operators or diver training agency) if I suffer damage by doing so.
• I ACKNOWLEDGE that I will dive or swim with a partner and that we will be responsible for following the instructions that will be given before each acƟvity (Briefing).
• I will not hold the Released Parties liable for failure to comply with the instructions or not maintaining eye contact with the person in charge of the activity at all times. moment. If the conditions of the acƟvity exceed my qualifications or are considered too dangerous for me, the dive guide and the Released Parties reserve the right to prevent my immersion or activity.
• I AGREE to examine all my equipment before each use in the activity, being the only one Responsible for ensuring that all necessary equipment is in place and working properly.
• I will inform the Released Parties if any item of my equipment is not working properly.
• I will not hold Released Parties liable for failure to inspect my equipment beforehand. of immersion.
• I UNDERSTAND that diving or snorkeling or any nautical acƟvity is a physically strenuous and that I will make an effort during this excursion and that, in the event of damage bodily injuries as a result of a heart attack, panic, hypervenƟlation, etc., I assume expressly bear the risk of such damages and will not hold the Released Parties liable. in relation to them.
• I UNDERSTAND that this ship is not a “floating hospital.” I am aware that the ship operates in remote areas and has limited medical facilities. In case of illness or injury, Appropriate medical help will be necessary and treatment may be delayed until so that he can be transferred to an appropriate medical facility.
• I agree to be fully responsible for all costs of medical evacuation, transportation, health care and associated expenses in said case.
• I FULLY ASSUME all responsibility and risks associated with the use of any medication, medical device and/or medical supply available on board and I understand that the presence and availability of these medicines, medical devices and/or medical supplies on board does not constitute a recommendation or prescription for its use. The decision to use Any medication, medical product and/or medical supply will be exclusively mine. I agree to hold harmless all Released Parties for any damages associated with the use of such medications. I HEREBY RELEASE AND RELEASE THE RELEASED PARTIES FROM ANY LIABILITY REGARDING ME, MY PERSONAL REPRESENTATIVES, ASSIGNS, HEIRS AND DIRECT RELATIVES FOR ANY LOSS OR DAMAGE AND ANY CLAIM IN CONNECTION THEREWITH FOR DAMAGES CAUSED TO ME PERSON OR MY PROPERTY OR THAT CAUSES MY DEATH, NOW AND IN PERPETUITY, DERIVED OR RESULTING FROM MY PARTICIPATION IN THE CRUISE AND IN ANY ACTIVITY DIVING OR RESCUE PROCEDURE OR OTHERWISE. WAIVER AGREEMENT RESPONSIBILITY AND EXPRESS ASSUMPTION OF RISKS WAIVER OF LIABILITY AND EXPRESS ASSUMPTION OF RISK AGREEMENT

• I DECLARE that I am of legal age and have the legal capacity to sign this Agreement or that I have obtained the written consent of my parent or guardian.

• I understand that the Conditions included in this document are contractual and not an mere enunciation and that I signed the Agreement freely with the knowledge that, for the present, I agree to waive my rights.

• I understand and agree that I am not only waiving my right to sue the Parties Exonerated, but also to any rights possessed by my heirs, assigns or beneficiaries to sue the Released Parties as a result of my death.

• I further declare that I have the authority to do so and that my heirs, assigns and beneficiaries ciaries will not be able to claim otherwise because of my statements to the Released Parties.

• FURTHER, I UNDERSTAND that, if any provision of this Agreement is deemed unenforceable or invalid, such stipulation shall be severed from the Agreement. The rest of the agreement will be interpreted as if the non-enforceable stipulation had never been included in it.

• I DECLARE that I have adequate private accident insurance: ____________________ [INSURANCE NAME] and ______________________ [POLICY NUMBER].

• Contact in case of emergency Name and Surname ______________________________ Telephone Number ___________ In In case of emergency, indicate the contact information of the person to be contacted. Signature of parƟcipant: Passport number: Date