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:
In witness whereof, the undersigned has hereto set his/her hand and seal this at the date below
***THIS FORM MUST BE NOTARIZED UNLESS PARENT/GUARDIAN IN ONSITE***
NOTARY INFORMATION:
Sworn to and subscribed before me at the date as below:
