June 20, 2055
Participant's Name: [Your Name]
Address: Miami, FL 33101
Phone Number: (305) 555-9876
The undersigned acknowledges that they are voluntarily participating in the Scuba Diving Experience organized by GoWorld.
I, the undersigned, recognize that participation in the Scuba Diving Experience involves inherent risks, including but not limited to underwater hazards, equipment failure, and marine life encounters. I fully understand and accept these risks and choose to participate despite them.
In consideration for being allowed to participate in the Scuba Diving Experience, I at this moment release, waive, discharge, and hold harmless GoWorld, its employees, agents, and affiliates from any claims, liabilities, losses, or damages arising from my participation in this activity. This waiver applies to any injury, illness, or damages that may occur, whether caused by negligence or otherwise.
I hereby give permission to GoWorld to obtain emergency medical treatment for me in the event of injury or illness during my participation in the Scuba Diving Experience. I also confirm that I have provided accurate health information to the best of my knowledge.
I have read this Liability Waiver in its entirety and fully understand its contents. I know this is a release of liability and a contract between me and GoWorld. By signing this document, I agree to abide by all rules and regulations established by GoWorld.
IN WITNESS THEREOF, the participant has executed this release on the date first written above.
Company's Signature: | Participant’s Signature: |
GoWorld Representative June 20, 2055 |
Participant June 20, 2055 |
Emergency Contact Name: Lyda Fadel
Phone Number: 222 555 7777
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