Printout and bring to class
Instruction for completing forms
GENERAL LIABILITY FORM
Please fill in the blanks as best you can. If you are not sure, leave it blank. No corrections or changes can be made to these forms. If you are enrolling a minor. You must also complete Minor/Parent Waiver
FOR: Name of Course
I: Print your name
MY INSTRUCTORS: leave blank for now
INTENTION OF: Print your name
MY INSTRUCTORS: Leave blank
OTHERS: Leave blank
Each medical question MUST be individually answered YES or NO. No dittos or squiggly line.
PARTICIPANT: Print your name
INSTRUCTOR: Felix (Phil) Ventura
DIVE CENTER: 1.877.SCUBA.USA
CITY/STATE: Lodi NJ
No alterations, changes, omissions or revisions may be made.