Introductory Dive - Health Decleration - MANTA ISROTEL DIVING CENTER

Date of activity*

Reservation name*

The name given in the reservation, the same for all participants

Introductory dive – health declaration form

Dear diver, In order to ensure you enjoy your dive, you are kindly requested to advise us of all information pertaining to any health problem that you may have. Please note that any attempt to avoid a complete disclosure of any fact relating to your health, will remove any responsibility from us for any damage that may be caused to you as a result of the dive, and nullifies any complaint and/or claim of any kind.

If you answered one or more of the questions "Yes" please specify

I know that it is forbidden to fly within two hours of the introductory dive. I understand that no refunds will be issued once I have started the activity and/or entered the water. I hereby confirm with my signature and declare that all the details completed by me are correct.

First name*

Last Name*

Date of birth*

Age*

Parent/ guardian first name*

Parent/ Guardian last name*

Date: 18/04/2024

Email*

Publication Authorization*

During the various dives and activities offered by the Manta Isrotel Diving Center, we photograph and/or film the participants for promotional purposes, and we would therefore appreciate your consent to appear in these photographs and/or video footage. 1. By signing, I authorize the Isrotel hotel chain to use all photographs and/or video footage in which I appear.2. I am aware that the Isrotel hotel chain may use the raw images and/or raw video footage for an indefinite period and in any media, including the chain's website and other promotional material.3. I am aware that the raw images and/or raw video footage taken, as well as the photographs and/or video footage produced as a result, are protected by copyright laws and are the sole property of Isrotel, and I will not take any legal or financial action whatsoever regarding such material.

yes it`s ok
no thank you

Signature*

Parent/ guardian signature*

(Minors)

Comments

This field is for validation purposes and should be left unchanged.

Introductory Dive - Health Decleration

Introductory dive – health declaration form

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