Scuba Junkie Liveaboards Liability Release Form

Certified Divers, please fill in the below:

Cancellation Policy

Email reservations/ Pre-bookings: Packages booked are non-refundable- Please refer to the Terms & Conditions as per your confirmation
PADI Courses: Please note if you are unable to complete the skills, swim test/ float or have a yes on the medical form- there are no refunds applicable- however you can exchange the days of the course for diving/ snorkelling instead (please ensure you check the medical form thoroughly!)
Last minute/ Walk in Reservations: Full payment needs to be paid to confirm the booking and you hereby acknowledge and understand that there is a no refund policy during your stay with us.

Acknowledgements

Safety deposit boxes are available at no extra charge in the office and in the rooms aboard the KLM Eliya. We advise you utilise these during your stay as you are fully responsible for any damage or loss of your possessions whilst aboard.

I understand that it is my responsibility to arrive at the Scuba Junkie office on time, ready for departure. Failure to arrive on time will result in additional fees charged to arrange a private transfer to the KLM Eliya (if available).

Please note you are in a Muslim country and as such you agree to respect the culture and understand that all public nudity is strictly forbidden.

For my own protection I will:
1. Not dive under the influence of alcohol or drugs.
2. Not conduct decompression or penetration dives.
3. Not dive deeper than 40 meters.
4. Familiarise myself with all rental gear.
5. Follow all safety instructions given by the dive team.
6. Be responsible for planning and executing my own dive profile.
7. Never dive alone & if I get separated from my group, ascend after a 1 min search.
8. Not dive if I feel at all unwell.
9. Not dive if I am pregnant.
10. Wait at least 18 hours before flying after diving.

To protect the marine life and coral reef I will:
1. Not touch, tease, harass or chase any marine life.
2. Not deliberately touch any coral on the reef.
3. Not damage the reef with my fins or any other equipment.
4. Not hold onto, rest on, stand or kneel on any living coral.
5. Comply with the dive professionals instructions.
6. Not throw ANY garbage into the ocean.
7. Not pick up or collect any coral, shells etc.

I hereby acknowledge all of the above terms and conditions while diving with Scuba Junkie, and agree to pay for all in full before I begin my diving. I fully agree to pay for any rental equipment that I lose or damage during my trip.

Bcd: 5,000,000 IDR
Regulator: 8,500,000 IDR
Wetsuit: 1,400,000 IDR
Hooded Vest: 800,000 IDR
Fins: 850,000 IDR
Booties: 500,000 IDR
Mask: 500,000 IDR
Snorkel: 170,000 IDR

Weight belt + buckle: 200,000 IDR
Weights: 100,000 IDR per KG
Camera + Housing: 8,500,000 IDR + 3,000,000 IDR
Dive Computer: 4,500,000 IDR
Compass: 850,000 IDR
Torch: 800,000 IDR
SMB: 400,000 IDR

By my signature below, I hereby acknowledge and agree to the above terms & conditions and Cancellation Policy. I also agree to dive according to PADI’s Standard Safe Diving Practices & Scuba Junkie’s Responsible Dive Practices during my stay with Scuba Junkie. I understand and acknowledge with my signature below that in the case of deliberate violation of these rules, the Cruise Director has the exclusive rights to exclude me from any further activities. I have read and understood Scuba Junkie’s package rates and agree that these costs apply to my stay unless I have received written confirmation otherwise. I agree that I must return all rental equipment before disembarkation to Scuba Junkie, or I will be charged for any items not returned.

Release of Liability/Assumption of Risk/Non-agency Acknowledgement Form: TRAVEL AND EXCURSIONS

Please read carefully before signing.

Non-Agency Disclosure and Acknowledgment Agreement

I understand and agree that PADI Members (“Members”), including SCUBA JUNKIE LIVEABOARDS (PT. SCUBA LIVEABOARD INDONESIA), and/or any individual PADI Instructors and Divemasters associated with the program in which I am participating, are licensed to use various PADI Trademarks and to conduct PADI training, but are not agents, employees or franchisees of PADI Americas, Inc, or its parent, subsidiary and affiliated corporations (“PADI”). I further understand that Member business activities are independent, and are neither owned nor operated by PADI, and that while PADI establishes the standards for PADI diver training programs, it is not responsible for, nor does it have the right to control, the operation of the Members’ business activities and the day-to-day conduct of PADI programs and supervision of divers by the Members or their associated staff. I further understand and agree on behalf of myself, my heirs and my estate that in the event of an injury or death during this activity, neither I nor my estate shall seek to hold PADI liable for the actions, inactions or negligence of SCUBA JUNKIE LIVEABOARDS (PT. SCUBA LIVEABOARD INDONESIA) and/or the instructors and divemasters associated with the activity.

Liability Release and Assumption of Risk Agreement

I, hereby affirm I am voluntarily engaging in the recreational activities planned for my trip to KOMODO NATIONAL PARK, which activities may include, but are not limited to, scuba diving, snorkelling and boating. If I engage in scuba diving, I affirm that I am a certified diver or a student diver under the control and supervision of a certified scuba instructor, and that I am aware that skin and scuba diving have inherent risks which may result in serious injury or death. I certify that I am fully aware of and expressly assume all risks involved in scuba diving, snorkeling, boating and other activities in which I choose to participate. I understand and agree that neither SCUBA JUNKIE LIVEABOARDS (PT. SCUBA LIVEABOARD INDONESIA), nor PADI Americas, Inc., nor its affiliate or subsidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns (hereinafter referred to as “Released Parties,”) may be held liable or responsible in any way for any occurrence on this trip which may result in personal injury, property damage or wrongful death or other damages to me, my family, estate, heirs or assigns that may occur as a result of my participation in this trip 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 Agreement, or that I have obtained the written consent of my parent or guardian.I understand the terms herein are contractual and not a mere recital, and that I have signed this Agreement of my own free act and with the knowledge that I hereby agree to waive my legal rights. I further agree that if any provision of this agreement is found to be unenforceable or invalid, that provision shall be severed from this agreement. The remainder of this agreement will then be construed as though the unenforceable provision had never been contained herein.I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assigns, or beneficiaries may have to sue the Released Parties resulting from my death. I further represent I have the authority to do so and that my heirs, assigns, and beneficiaries will be estopped from claiming otherwise because of my representations to the Released Parties.

I, by this instrument, agree to exempt and release all the above listed entities and/or individuals, whether specifically named or not, 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 have fully informed myself and my heirs of the contents of this non-agency disclosure and acknowledgement agreement and liability release and assumption of risk agreement by reading both before signing below on behalf of myself and my heirs.

PRODUCT NO. 10079 (Rev. 12/12) Version 5.01 © PADI 2012

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