Aquanaut | Amphibian Dive Club Sign Up – Monthly – Aquanaut Scuba | PADI Dive Courses, Equipment Sales & Servicing

This form will take approximately 5 minutes to complete.

At the end, you will be given the option to pay for your membership via PayPal or Debit/Credit Card.
Your Contact Details
Your Name*
First Name Surname
Address
Address Line 1 Address Line 2 City County Post Code
Your Email*
Enter Email Confirm Email
Phone*
Preferred Method of Contact
- Email
- Phone

Medical Details
Please detail any medical conditions which affect your diving activities

Emergency Contact Information
If required, this information will be used to contact someone in case of an emergency. Please ensure that your emergency contact is a non-diving person to ensure they can be contacted while you are away.
Emergency Contact Name*
First Name Surname
Best phone number for emergency contact*
Alternate phone number for emergency contact
Emergency Contact Email

Club 'Respect' Rules
Aquanaut Diving Club was set up to enable as many people as possible to enjoy diving in all its forms. We believe diving should be an enjoyable hobby both in the water and on dry land. To that end the club also organises social activities for club members. These activities may be organised as part of a "dive trip" or simply as a standalone event.

In all activities we expect each of our members to treat each other and the general public with respect.

The club expects sensible and reasonable behaviour by all members at all times.

We expect all club members to consider the environment in which they find themselves and moderate their behaviour accordingly.

All club members are expected to deal with our suppliers with respect (i.e. hotels, dive centers, boat captains etc).

All club members are expected to pay any monies owed to the club and its suppliers in a timely fashion.

All club members are expected to treat their committee / trip organisers with respect and aim to become involved in club decisions.

All club members are expected to behave in a way that does not bring the club's good name in to disrepute.
Please type your full name to confirm you have read, understand and agree to the club respect rules.*

Diving Code of Practice

As a club diver, from time to time you may be asked to Buddy up with someone less experienced than you to help them develop their skills – this is one of the key aims for the club.

All persons wishing to dive with the Club are required to produce Certification and Log Book evidence of diving qualification and experience if requested to the dive leader prior to a dive expedition.

Club Members will ensure that they are physically fit for diving, or suspend their diving activity until fit again. If a diver has any doubt, the diver must seek medical advice before recommencing diving activities.

All Members diving under the auspices of the Club shall have completed the Club’s Liability Release and Assumption of Risk Form (following).

Parents of Members under 18 shall complete this form on behalf of their children.

All diving during a club trip must always be done in Buddy Teams. No solo diving will be allowed.

Members must have the appropriate training and experience for the intended dives, and accept full responsibility for understanding and following the codes of practice and safe diving standards as recognised by diving organisations such as PADI, BSAC, NAUI, SSI etc.

Leaders shall ensure that all divers on the trip receive a formal “dive briefing” and have sufficient information to prepare full and safe dive plans.

Leaders shall take all reasonable steps to ensure the safety of divers on their expedition, however, individual divers shall ultimately be held fully responsible for their own safety and, as far as reasonably possible, for the safety of their nominated Buddy.

Leaders shall always ensure that full details of the intended dive are left with a responsible person who can raise the alarm in the event of divers failing to return by the agreed time.

The responsibility for ensuring adequate personal preparation for a dive rests with the individual diver and Buddy Teams, and NOT the boat skipper/dive leader.

The dive leader or boat skipper reserves the right to cancel a dive if he/she has any doubts about a diver’s ability or health.

Divers shall be individually responsible for the safe storage and handling of their equipment.

Dive plans, including entry and exit procedures, established and agreed with the skipper/dive leader, are to be followed unless conditions become unsafe to do so.

Divers are to familiarise themselves with the location and operation of safety equipment, including oxygen and radio/emergency systems.

Divers who are not in the water are to be prepared to assist other divers with entry and exit procedures.
Please type your full name to confirm you have read, understand and agree to the Diving Code of Practice.*

Liability Release and Assumption of Risk

This information must be completed, agreed and submitted by all active diving club members.

A new submission is required each year and is to be submitted with annual membership renewal.

Please read carefully, initial each paragraph and complete all details as instructed.

If you are not of lawful age, you will need to complete a physical version and obtain a signature from a parent or legal guardian.
I hereby affirm that I am a Certified Diver, and have been advised, or otherwise am fully aware, of the hazards of skin diving, scuba diving, and associated boat operations.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
I understand this Liability Release and Assumption of Risk (this 'Release') hereby encompasses and applies to ALL diving and non-diving activities organised by the Aquanaut Dive Club, in which I choose to participate and/or associated boating operations. These specialised diving activities include, but are not limited to, boat handling, and navigation, night, deep, altitude, boat, drift, dry suit, wreck, multilevel, search and recovery, underwater naturalist, underwater photography, and underwater videography dives.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
I understand and agree that this Release applies to all members, leaders, agents and each of their respective personal representatives and assigns (each from time to time) of the Aquanaut Dive Club, through which such activities as identified above are organised.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
Further I understand that scuba diving involves certain risks including decompression sickness, embolism, or other hyperbolic injuries that require treatment in a recompression chamber. I understand that the diving trips may be conducted at sites that are remote in time, distance, or both, from such a recompression chamber. Despite the possible lack of a recompression chamber near the dive site, I still choose to proceed with such dives.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
I understand and agree that to the maximum extent permitted by English law, the Aquanaut Dive Club and its members, leaders, agents, contracted skippers/boat owners/ boat crew and their respective successors, personal representatives and assigns (each from time to time) (hereinafter referred to as the “Released Parties”) may not be held liable or responsible to me (or to my successors or personal representatives) in any way (whether in contract, negligence or on any other legal basis) for any injury, death, loss or damage to me or to my property that may occur as a result of my participation in these diving or other non-diving activities and I hereby release the Released Parties from the same. The foregoing is not intended to exclude the liability of any of the Released Parties for death or personal injury caused by negligence or for other liability which cannot be validly excluded under English law.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
As a condition of being allowed to participate in these diving and non-diving activities, I hereby personally assume all risks in connection with said activities, for any harm, injury, or damage that may befall me while I am involved in any of these activities, including all risks connected therewith, whether foreseen or unforeseen. I understand that these hazards include, but are not limited to, air expansion injuries, drowning, decompression sickness, slipping or falling while on board, being cut or struck by a boat while in the water, injuries occurring while getting on or off a boat, and other perils of the sea. The foregoing is not intended to exclude the liability of any of the Released Parties for death or personal injury caused by negligence or for other liability which cannot be validly excluded under English law.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
I also understand that skin diving and scuba diving cause physical strain or exertion not necessarily experienced in non-diving situations, and that subject to the foregoing I assume all risk for the same.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
I understand and agree that this document is legally binding.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
I further state that I am of lawful age and legally competent to sign this Release. If not of lawful age, I have acquired the written consent of my parent or guardian.*
(PLEASE TYPE YOUR INITIALS TO CONFIRM AGREEMENT)
To finally confirm that you are happy to agree with the above Liability Release & Assumption of Risk, can you please firstly type the full date (in DD/MM/YYYY format)*
(PLEASE TYPE TODAY'S DATE IN DD/MM/YYYY FORMAT)

Membership Payment
Please Select Your Desired Membership Type*
- Full Membership: Annual @ £60/year
- Full Membership: 12 months @ £5/mo
- Social Membership: Annual @ £30
I consent to the collection and processing of my “personal data” for the purposes of the Data Protection Act 1998. Aquanaut Dive Club (the “Club”) is the “data controller” and I agree that my personal data may be held in electronic and/or manual form and may be used by the Club and its Committee from time to time for the purposes of the proper administration of my membership. This includes, without limitation, bringing to my attention (through the use of email or other publicity) possible Club trips and other events in which I may be interested and ensuring my full participation in Club activities. In the event of a medical emergency arising which involves me, I consent to the disclosure by the Club, its Committee and/or trip organisers of all or any part of this form to the emergency services and/or to my next of kin.
Agreement*
- I agree to the terms of service
Phone
This field is for validation purposes and should be left unchanged.

020 8546 8882

dive@aquanautscuba.co.uk

Step 1 of 8 - Contact Information

This form will take approximately 5 minutes to complete.

At the end, you will be given the option to pay for your membership via PayPal or Debit/Credit Card.

Your Contact Details

Your Dive Experience

Medical Details

Emergency Contact Information

Club 'Respect' Rules

Diving Code of Practice

Liability Release and Assumption of Risk

Membership Payment