Política de privacidad
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 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
São Vicente (Cape Verde)
+238 580 41 61
info@saovicentetours.com
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