This is a statement in which you are informed of the established safe diving practices for skin and scuba diving. These practices
have been compiled for your review and acknowledgement and are intended to increase your comfort and safety in diving.
Your signature on this statement is required as proof that you are aware of these safe diving practices. Read and discuss the
statement prior to signing it. If you are a minor, this form must also be signed by a parent or guardian.
I, __________________________________________________(Print Name), understand that as a diver I should:
- Maintain good mental and physical fitness for diving. Avoid being under the influence of alcohol or dangerous drugs when
diving. Keep proficient in diving skills, striving to increase them through continuing education and reviewing them in
controlled conditions after a period of diving inactivity,
and refer to my course materials to stay current and refresh
myself on important information.
- Be familiar with my dive sites. If not, obtain a formal diving orientation from a knowledgeable, local source. If diving
conditions are worse than those in which I am experienced, postpone diving or select an alternate site with better
conditions. Engage only in diving activities consistent with my training and experience. Do not engage in cave or technical
diving unless specifically trained to do so.
- Use complete, well-maintained, reliable equipment with which I am familiar; and inspect it for correct fit and function prior
to each dive. Deny use of my equipment to uncertified divers. Always have a buoyancy control device and submersible
pressure gauge when scuba diving. Recognize the desirability of an alternate air source and a low-pressure buoyancy
control inflation system.
- Listen carefully to dive briefings and directions and respect the advice of those supervising my diving activities. Recognize
that additional training is recommended for participation in specialty diving activities, in other geographic areas and
after periods of inactivity that exceed six months.
- Adhere to the buddy system throughout every dive. Plan dives - including communications, procedures for reuniting in
case of separation and emergency procedures - with my buddy.
- Be proficient in dive table usage. Make all dives no decompression dives and allow a margin of safety. Have a means to
monitor depth and time underwater. Limit maximum depth to my level of training and experience. Ascend at a rate of not
more than 18 metres/60 feet per minute. Be a SAFE diver -
Slowly Ascend From
Every dive. Make a safety stop as an
added precaution, usually at 5 metres/15 feet for three minutes or longer.
- Maintain proper buoyancy. Adjust weighting at the surface for neutral buoyancy with no air in my buoyancy control device.
Maintain neutral buoyancy while underwater. Be buoyant for surface swimming and resting. Have weights clear for easy
removal, and establish buoyancy when in distress while diving.
- Breathe properly for diving. Never breath-hold or skip-breathe when breathing compressed air, and avoid excessive
hyperventilation when breath-hold diving. Avoid overexertion while in and underwater and dive within my limitations.
- Use a boat, float or other surface support station, whenever feasible.
- Know and obey local dive laws and regulations, including fish and game and dive flag laws.
I have read the above statements and have had any questions answered to my satisfaction. I understand the importance and purposes
of these established practices. I recognize they are for my own safety and well-being, and that failure to adhere to them can place
me in jeopardy when diving.
|Signature of Parent or Guardian (where applicable)