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Join the Jepun family

Please fill out the form below, sign, and submit

Scuba program
Level of certification
Last dive?

We always recommend to do a refresher course if it has been more than a year and you have less than 50 dives

Equipment needed

If you know your sizes and amount of weights needed you can add them below

Assumption of Risk, Liability Release & Hold Harmless Agreement

In consideration of being allowed to participate in scuba training, I expressly agree to be bound by this Agreement. I understand this Agreement is between me, my family, estate, heirs and or anyone who may have a claim on my behalf; and Amed Jepun Divers, including all instructors, facilities, boats, and sites I use for scuba diving, and each of their respective owners, officers, employees, representatives, volunteers, agents, contractors and any others on their behalves, whether specifically named or not (herein referred to as

“Released Parties”).

I voluntarily assume all risks of injury, illness and death, caused by scuba diving and all related activities, whether foreseeable or not, including but not limited to risks associated with: swimming, entering and exiting the water, falling on, struck by or abandoned by a boat, separation or lost underwater, holding my breath, pre-existing health conditions, heart failure, over-exertion, panic, drowning, pressure related injuries, decompression illness, environmental and marine life injuries, unknown causes, equipment malfunctions, improper dive planning, or improper action of other divers or support personnel (including failure to rescue, recover, resuscitate, or provide emergency assistance).

I agree to waive, release, not sue, discharge, save, indemnify, and hold harmless the Released Parties of all claims, demands, causes of action, lawsuits and damages by me, my estate, family (including minor children), heirs, or others who may have a claim for my injury, illness or death as a result of any act or failure to act, including negligence by the Released Parties, associated with my scuba diving and all related activities. I agree that it is my responsibility to inform my family and all those who may have legal rights on my behalf that I have entered into this Agreement and it is my intent that they be bound by this Agreement. I agree that me or my estate shall be fully liable (pay for) for the cost to the Released Parties for any claim brought on my behalf as a consequence of my participation in scuba diving and all related activities.

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