Basic Diver Registration
Emergency Contact: (Name and Phone and Relationship)
Privacy Policy This Privacy Policy explains why SSI Training Centers obtain your personal data for the purposes of conducting your training, issuing certifications, administration of your private information and any other necessary specifics regarding the performance of this agreement. For more information you may go to the SSI Privacy Policy at https://my.divessi.com/myssi_privacy.
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Privacy Policy This Privacy Policy explains why SSI Training Centers obtain your personal data for the purposes of conducting your training, issuing certifications, administration of your private information and any other necessary specifics regarding the performance of this agreement. For more information you may go to the SSI Privacy Policy at https://my.divessi.com/myssi_privacy.
Room Number/ Villa Number:
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Statement of Understanding – Triton Adventures
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By participating in snorkelling, certified diving, Discover Diving Programs or SUP trips with Triton Adventures, I understand that I am responsible for any loss or damage to the equipment provided. I agree to use all gear with care and acknowledge that, in the event of loss or damage, I will be charged the full replacement cost at the price of a new item.
Statement of Understanding – Triton Adventures
SSI Responsible Diver Code
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Scuba diving is an adventure activity that requires the use of specialized life support equipment in an underwater environment where humans could not otherwise exist. As with other adventure activities, scuba diving has elements of risk that cannot be totally eliminated regardless of the amount of training, care, caution or expertise. SSI believes these risks may be reduced through the SSI Diver Diamond - development of proper Knowledge, Skills, Equipment and Experience. Ultimately it is up to each individual diver to assume the inherent risk associated with scuba diving and each diver's responsibility to minimize the risk through exercising good judgment, common sense, respect and personal awareness during all diving activities. SSI has developed a Responsible Diver Code to remind divers of your responsibilities for each dive. As a Responsible Diver - I pledge to:
1. DIVE COMPETENTLY - Always dive within my training, certification, experience, comfort and ability.
2. MAINTAIN APPROPRIATE DIVER HEALTH - Including appropriate fitness, physical health and mental awareness to dive.
3. UTILIZE A DIVE PLAN - Plan my dive and dive my plan. Listen to and follow dive briefings. -
4. BE A RESPONSIBLE DIVE PARTNER - Remain with my dive partner from start to finish of my dive. Know our plan to reunite if separated underwater.
5. INSPECT MY DIVE EQUIPMENT - Before each dive, I will inspect my equipment and make sure everything is working properly. I will confirm my cylinder valve is completely open. When using blended gas (i.e., Enriched Air Nitrox) – I shall analyze my gas and know its limitations. I will establish proper weighting, know how to release my weights, and verify my buoyancy compensator (BC) and inflator are connected and functioning properly. I will secure my submersible pressure/depth gauge and/or dive computer where it is easily accessible, and know how to use each.
6. DIVER AWARENESS - Monitor my cylinder pressure; making sure to surface with reserve gas and never run out of gas. Monitor my depth and time, respect no decompression limits, perform controlled ascents, safety stops, and monitor my dive partner. —
7. MAINTAIN PROFICIENT SCUBA SKILLS - I understand scuba skills and knowledge are perishable. If it has been more than six months since my last dive, I understand the importance of taking a Scuba Skills Update course. I will maintain proper buoyancy throughout my dive, ascend slowly, and breathe properly to avoid overexpansion injuries. 8. RESPECT THE ENVIRONMENT - Be aware of currents, waves, visibility, temperature, weather, boat traffic, slippery, uneven and unstable surfaces, overhead environments, entanglements, and hazardous marine life. I understand boats are unsteady surfaces and will always use one hand to stabilize myself. I understand the importance of taking an orientation dive with a local professional when diving in unfamiliar environments. I will obey all diving and applicable regulations, statutes and codes.
9. PLAN FOR EMERGENCIES - In addition to inspecting all of my dive equipment, I will verify my dive partner's equipment is functioning properly, configured appropriately and that I know how to remove our weights in case of an emergency. I will make sure our alternate air sources are properly secured and easily accessible in case of a low air or out of air emergency. I will know scuba hand signals and how to alert others in case of an emergency. I will have an emergency action plan in case my dive partner or I have an emergency.
10. ACCEPT RESPONSIBILITY - I am ultimately responsible for my safety during all diving activities. Failure to comply with these responsibilities will increase my risk of serious injury or death. Accidents can happen even when all safety guidelines are followed, therefore I should obtain personal dive accident insurance. I understand the importance of being a responsible diver and I pledge to abide by the SSI Responsible Diver Code. I understand failure to abide by the SSI Responsible Diver Code will jeopardize my safety and well-being.
SSI Responsible Diver Code
Diver Medical | Participant Questionnaire
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Recreational scuba diving and freediving requires good physical and mental health. There are a few medical conditions which can be hazardous while diving, listed below. Those who have, or are predisposed to, any of these conditions, should be evaluated by a physician. This Diver Medical Participant Questionnaire provides a basis to determine if you should seek out that evaluation. If you have any concerns about your diving fitness not represented on this form, consult with your physician before diving. If you are feeling ill, avoid diving. If you think you may have a contagious disease, protect yourself and others by not participating in dive training and/or dive activities. References to "diving" on this form encompass both recreational scuba diving and freediving. This form is principally designed as an initial medical screen for new divers, but is also appropriate for divers taking continuing education. For your safety, and that of others who may dive with you, answer all questions honestly. Directions Complete this questionnaire as a prerequisite to a recreational scuba diving or freediving course. Note to women: If you are pregnant, or attempting to become pregnant, do not dive.
Diver Medical | Participant Questionnaire
1 | I have had problems with my lungs, breathing, heart and/or blood affecting my normal physical or mental performance?
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1 | I have had problems with my lungs, breathing, heart and/or blood affecting my normal physical or mental performance?
2 | I am over 45 years of age.?
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2 | I am over 45 years of age.?
3 | I struggle to perform moderate exercise (for example, walk 1.6 kilometer/one mile in I minutes or swim 200 meters/yards without resting), OR I have been unable to participate in a normal physical activity due to fitness or health reasons within the past 12 months?
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3 | I struggle to perform moderate exercise (for example, walk 1.6 kilometer/one mile in I minutes or swim 200 meters/yards without resting), OR I have been unable to participate in a normal physical activity due to fitness or health reasons within the past 12 months?
4 | I have had problems with my eyes, ears, or nasal passages/sinuses?
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4 | I have had problems with my eyes, ears, or nasal passages/sinuses?
5 | I have had surgery within the last 12 months, OR I have ongoing problems related to past surgery?
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5 | I have had surgery within the last 12 months, OR I have ongoing problems related to past surgery?
6 | I have lost consciousness, had migraine headaches, seizures, stroke, significant head injury, or suffer from persistent neurologic injury or disease?
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6 | I have lost consciousness, had migraine headaches, seizures, stroke, significant head injury, or suffer from persistent neurologic injury or disease?
7 | I am currently undergoing treatment (or have required treatment within the last five years) for psychological problems, personality disorder, panic attacks, or an addiction to drugs or alcohol; or, I have been diagnosed with a learning or developmental disability?
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7 | I am currently undergoing treatment (or have required treatment within the last five years) for psychological problems, personality disorder, panic attacks, or an addiction to drugs or alcohol; or, I have been diagnosed with a learning or developmental disability?
8 | I have had serious back problems, hernia, ulcers, or diabetes.?
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8 | I have had serious back problems, hernia, ulcers, or diabetes.?
9 | I have had stomach or intestine problems, including recent diarrhea?
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9 | I have had stomach or intestine problems, including recent diarrhea?
10 | l am taking prescription medications (with the exception of birth control or anti-malarial drugs other than mefloquine (Lariam)?
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10 | l am taking prescription medications (with the exception of birth control or anti-malarial drugs other than mefloquine (Lariam)?
If you answered NO to all 10 questions above, a medical evaluation is not required. Please read and agree to the participant statement below by signing and dating it. Participant Statement: I have answered all questions honestly, and understand that I accept responsibility for any consequences resulting from any questions I may have answered inaccurately or for my failure to disclose any existing or past health conditions. If you answered [YES] to any of these questions, then you must additionally complete the Diver Medical Participation Questionnaire. The Diver Medical Participation Questionnaire is a more thorough medical screening form used to determine if you need to be evaluated by a physician prior to any in-water diving activities. PLEASE UPLOAD IT HERE:
SSI Introductory Scuba Code
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I agree to be responsible to comply with the following SSI Introductory Scuba Code during all diving activities:
1 | I am responsible for my own safety and well-being during all scuba dives, including but not limited to; equalizing my air spaces, breathing normally, maintaining proper buoyancy, and remaining with my dive leader throughout the dive.
2 | I am responsible for being physically, medically, and mentally fit to participate in scuba diving; and I affirm all the personal information I have provided on the Fit to Dive questionnaire is truthful and accurate to the best of my knowledge; and I will not hold others responsible or liable for any injury, illness, or death caused by my failure to disclose a known medical condition.
3 | I am responsible for monitoring my air supply and ending my dive with at least 500 psi/35 bar.
4 | I am responsible for immediately notifying my dive leader if I am not comfortable or I have a problem.
5 | I will remain with my dive leader throughout my dive; however, if I become separated and cannot locate my dive leader, I will ascend to the surface (making sure to exhale during ascent) and establish positive buoyancy by inflating my buoyancy compensator or releasing my weights.
6 | I understand dive training does not guarantee my safety and that accidents happen even when proper procedures are followed.
7 | In the event that I do not feel comfortable, capable, or willing to fulfill these Responsibilities then I will not dive. I understand the importance of being a responsible diver and I pledge to abide by the SSI Introductory Scuba Code. I understand failure to abide by the Responsible Diver Code will jeopardize my safety and well-being.
I explicitly agree to accept full responsibility for failing to disclose any past or current health condition that affects my safety while diving.
SSI Introductory Scuba Code
Participant's Signature and Agreement (By checking this box is agreed as a digital Signature and is usable in a court of law)
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