Build your business with online activity waivers.

The Scuba Ranch & Recreations Parks, LLC - The Scuba Ranch at Clear Springs

(Formerly Clear Springs Scuba Park, LLC)

PARENT/GUARDIAN RELEASE AND INDEMNITY AGREEMENT

The undersigned, being the parent, guardian or person having the care and custody of the minor's name listed below, does hereby consent that my (son/daughter, relationship listed below) may participate in the prescribed activities, and/or take in consideration of The Scuba Rand and Recreation Parks, LLC / The Scuba Ranch at Clear Springs do hereby permit (son, daughter, relationship listed below) to participate and enter into said property for whatever activity and/or reason, and do hereby exempt, relieve, indemnify, and save/hold harmless, and agree not to sue. I also acknowledge and understand there are underwater, overhead environments that require advanced diving skills and agree not to allow said minor to exceed their personal diving limitations and or training.

I understand that I may be required to execute subsequent waivers, releases, and Indemnity Agreements on an annual or other periodic basis.

MINORS INFORMATION:

Name: *Please enter your name.

Date of Birth: *

Please enter a valid date.

Affiliation/School: *Please enter your answer here.

Cert#: *Please enter your answer here.

In witness whereof, the undersigned has hereto set his/her hand and seal this at the date below

Date *

Please enter a valid date.

Group Leader/School: *Please enter your answer here.

Date *

Please enter a valid date.

Parent/Guardian PRINT Name: *Please enter your name.

Parent/Guardian Signature: *

Click to sign

Please sign here.

***THIS FORM MUST BE NOTARIZED UNLESS PARENT/GUARDIAN IN ONSITE***

NOTARY INFORMATION:

State of: *Please enter your answer here.

County of: *Please enter your answer here.

Sworn to and subscribed before me at the date as below:

Date *

Please enter a valid date.

Notary Signature: *

Click to sign

Please sign here.

Commission Expiration: *Please enter your answer here.