Liability Release
BOAT TRAVEL AND SCUBA DIVING

VOLUNTARY RELEASE, WAIVER, AND

ASSUMPTION OF RISK



Please read carefully and fill in all blanks before signing.


I, _______________________________________________, hereby affirm that I
am a certified diver or a student diver under the control and supervision of a certified
scuba instructor, and that I thoroughly understand the hazards of scuba diving
including those hazards occurring during boat travel to and from the dive site. I
understand that these hazards include, but are not limited to, air expansion injuries,
drowning, decompression sickness, slipping or falling while on board, being cut or
struck by a boat while in the water, injuries occurring while getting on or off a boat,
and other perils of the sea. By signing this release, I certify that I am fully aware of
and expressly assume these and all other risks involved in making such a dive or
dives, whether conducted as a recreational dive or part of a diving class.



I understand and agree that neither Rick Myers, Tricia Myers, Geoff Black, George
Potts, Kurt Long, Peggy Long, RJ Myers, the crew or divemasters of the vessel, nor
Bandito Charters, Sampan, Naknek, Ocean Quest  the vessel, nor International
PADI, Inc., SSI, or Scuba Concept Systems nor its affiliate or subsidiary
corporations, nor the owners, officers, employees, agents, or assigns of the above
listed individuals and/or entities (hereinafter “Released Parties”) may be held liable
or responsible in any way for any occurrence on this dive trip which may result in
personal injury, property damage, wrongful death or other damage to me or my
family, heirs, or assigns that may occur as a result of my participation in this boat
trip and scuba dive(s) or as a result of the negligence of any party, including the
Released Parties, whether passive or active. I further state that I am of lawful age
and legally competent to sign this liability release, or that I have obtained the written
consent of my parent or guardian.



I __________________________________________________, BY THIS INSTRUMENT,
DO HEREBY EXEMPT AND RELEASE ALL THE ABOVE LISTED ENTITIES AND/OR
INDIVIDUALS FROM ALL LIABILITY AND RESPONSIBILITY FOR PERSONAL INJURY,
PROPERTY DAMAGE OR WRONGFUL DEATH, HOWEVER CAUSED, INCLUDING, BUT
NOT LIMITED TO, PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED
PARTIES, WHETHER PASSIVE OR ACTIVE. I ACKNOWLEDGE THAT I HAVE READ THE
FOREGOING PARAGRAPHS, FULLY UNDERSTAND THE POTENTIAL DANGERS
INCIDENTAL TO ENGAGING IN THIS BOAT TRIP AND SCUBA DIVE (S), AM FULLY
AWARE OF THE LEGAL CONSEQUENCES OF SIGNING THIS INSTRUMENT, AND THAT
I UNDERSTAND AND AGREE THAT THIS DOCUMENT IS LEGALLY BINDING AND WILL
PRECLUDE ME FROM RECOVERING MONETARY DAMAGES FROM THE ABOVE
LISTED ENTITIES AND/OR INDIVIDUALS, WHETHER SPECIFICALLY NAMED OR NOT,
FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY
PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER
PASSIVE OR ACTIVE.



PRINTED NAME
____________________________________________




________________________________________________
Participant’s Signature                      Date (day/month/year)


________________________________________________
Signature of Parent of Guardian (where applicable)
Include Date (Day/Month/Year)