Chicagoland SCUBA, Lake Zurich's Premiere SCUBA Training Facility - See the difference a dedicated dive center can make!

Forms

SCUBA Diving Forms, Waivers, & Releases



In accordance with PADI and the Recreational Scuba Training Council guidelines, the following forms must be completed and presented to Chicagoland SCUBA prior to beginning any training, at any level. Please take a moment to complete these forms prior to the beginning of your class.
** All forms are in PDF format. You will need Adobe Acrobat Reader to view them.
If you require a form in a language other than English, please contact us.

YMCA User Waiver
Prior to any activies at the YMCA a User Waiver must be signed.

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Rental Reservation
Rental gear reservation, pick-up, and return form.

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Photo Release
This form allows us to take photographs and video of you during the course and gives us permission to use your likeness for advertising, social media, etc.

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Student Contract
All students are required to read and sign this contract at time of registration for all courses. This explains what we expect our of our students, and what you should expect out of us as professional instructors.

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Dive Profile Planner
PADI Recreational Dive Planning Worksheet

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10648 - Discover Scuba Diving Participant Statement and Medical Questionnaire
This form makes sure you are informed about introductory scuba diving. Please print all three pages read and fill out questions and sign prior to class.

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If there is a yes on the Discover Scuba Diving Participant Statement and Medical Questionnaire form, you must have the 6-Page Medical completed and signed by a physician
10615 - Youth Diving: Responsibility and Risks Acknowledgment
For children who are 10 or 11 years old going to confined open water or open water, the child and their parent/guardian must read and sign this form.

View PADI Youth Diving
Responsibility and Risk Video


This form ensures that you understand that there are certain risks inherent to skin and scuba diving, and you accept these risks. Please read this form carefully and, if you agree, sign at the bottom. Your instructor will assist in filling out some of the blanks, and answer any questions you may have before signing.

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10268 - Bubblemaker Statement
Liability release, Assumption of Rick, and Medical Questionaire for the Bubblemaker Course.

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If there is a yes on the Bubblemaker Statement form, you must have the 6-Page Medical completed and signed by a physician
10144 - Divemaster Application
This form is the application for the PADI Divemaster Course

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10090 - Adventures in Diving Documentation Worksheet
Use this worksheet to keep a record of course requirement completion.

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10089 - Snorkeling & Skin Diving Release
Release of Liability/Assumption of Risk/Non-agency Acknowledgement Form for Snorkeling and Skin Diving

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10085 - Special Event Liability Release
Sometimes we hold special events (underwater pumpkin carves, Sunday fundays, etc.) where there isn't any training. In order to participate, you must read, accept, and sign this form.

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10079 - Travel & Excursions
Release of Liability/Assumption of Risk/Non-agency Acknowledgement Form for when we travel.

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10077 - Boat Waiver
This form ensures that you understand that there are certain risks inherent to skin and scuba diving especially while on a boat, and you accept these risks. Please read this form carefully and, if you agree, sign at the bottom.

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10074 - Certified Diver - Release & Liability Waiver
This form ensures that you understand that there are certain risks inherent to skin and scuba diving, and you accept these risks. Please read this form carefully and, if you agree, sign at the bottom. Your instructor will assist in filling out some of the blanks, and answer any questions you may have before signing.

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10072 - Liability Release and Assumption of Risk
This form ensures that you understand that there are certain risks inherent to skin and scuba diving, and you accept these risks. Please read this form carefully and, if you agree, sign at the bottom. Your instructor will assist in filling out some of the blanks, and answer any questions you may have before signing.

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10063 - Medical Statement
This form lists several contradictions to Scuba Diving as determined by the Recreational Scuba Training Council and PADI. Please review this document carefully. A positive response to any of the conditions listed on the form does not necessarily disqualify you from diving. A positive response means that there is a preexisting condition that may affect while diving, and you need consult with your physician prior to engaging in dive activities.

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If there is a yes on the Medical Statement form, you must have the 6-Page Medical completed and signed by a physician
10062 - PADI Scuba Diver Statement
This agreement defines the limitations of your pre-entry level certification and describes the diving practices necessary for your comfort and safety.

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10060 - Standard Safe Diving Practices
This form makes sure you are informed that there are established safe diving practices. Please read the form and, if you agree, print your name at the top, and sign at the bottom. Your instructor can answer any questions you may have prior to signing the form.

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10038 - Continuing Education Administrative Document
Medical Statement / Release of Liability / Assumption of Risk / Non-agency Acknowledgement Form.

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If there is a yes on the Continuing Education Administrative Document form, you must have the 6-Page Medical completed and signed by a physician

** All forms are in PDF format. You will need Adobe Acrobat Reader to view them.
If you require a form in a language other than English, please contact us.
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