Sports & Recreation

Scuba Diving Liability Waiver & Medical Statement

Liability waiver, assumption of risk, and medical fitness self-assessment for scuba diving instruction, guided dives, and equipment rental.

📄 1 signer📅 30-day expiry🏷 Sports & Recreation🔖 waiver, scuba, diving, underwater, liability, recreation, medical

About this template

The Scuba Diving Liability Waiver & Medical Statement is a ready-to-use sports & recreation template you can send for signature in minutes. It is written for 1 signer (participant) and, by default, expires 30 days after it is sent if left unsigned. It covers waiver, scuba, diving, underwater, liability, recreation. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Scuba Diving Liability Waiver & Medical Statement **Dive Operator / School:** ___________ **Activity Date(s):** ___________ **Activity Location:** ___________ --- ## Participant Information **Full Legal Name:** ___________ **Date of Birth:** ___________ **Email Address:** ___________ **Phone Number:** ___________ **Address:** ___________ **Certification Level (if certified):** ___________ **Certifying Agency (if certified):** ___________ **Emergency Contact Name:** ___________ **Emergency Contact Phone:** ___________ --- ## Activities Covered This waiver applies to all scuba diving activities conducted under the supervision or facilitation of the Operator, including: - Discover Scuba Diving / introductory pool and open-water dives - Confined-water (pool) instruction sessions - Open-water certification dives - Guided recreational dive trips (boat and shore dives)

Fields (27)

operator name
text · required
activity dates
text · required
activity location
text · required
participant full name
text · required
date of birth
date · required
participant email
email · required
participant phone
phone · required
participant address
textarea · required
certification level
select · required
certifying agency
text
emergency contact name
text · required
emergency contact phone
phone · required
cardiac history
radio · required
pulmonary history
radio · required
neuro history
radio · required
ent history
radio · required
other conditions
radio · required
recent surgery
radio · required
current medications
textarea
medical detail
textarea
participant full name
text · required
dan membership
radio · required
dan number
text
is minor
select · required
guardian name
text
governing state
select · required
participant full name
text · required

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Send this template with cryptographic proof

Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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