Training Form

The following form must be completed in order to participate in Coffs Harbour Bluewater Freediving Training. Please note that the training is operated by volunteers generously donating their time to promote the sport of freediving on the Coffs Coast.

First name

Last name

Date of birth

Freediving requires good physical and mental health. There are a few medical conditions which can be hazardous while freediving. Those who have, or are predisposed to, any of these conditions, should be evaluated by a physician. This questionnaire provides a basis to determine if you should seek out that evaluation. For your safety, and that of others who may freedive with you, answer all questions honestly.

Have you had problems with your lungs, heart, or blood?

Yes

Do you struggle to perform moderate excercise?

Yes

Do you have problems with your eyes, ears, or nasal passages (sinuses)?

Yes

Have you had surgery within the last 12 months?

Yes

Have you lost consciousness, had migraine headaches, seizures, stroke, head injury, or suffer from persistent neurologic injury?

Yes

Are you currently undergoing treatment for psychological problems, panic attacks, or addiction?

Yes

Do you have back problems, hernia, ulcers or diabetes that may impact your ability to safely participate in freediving?

Yes

If you answered yes to any of the questions above, then a formal medical evaluation from a suitably qualified medical practitioner is required. Please note this below and provide a copy to the trainer BEFORE commencing freediving training.

Mandatory Disclaimer

Activity

The Participant will be competing in the Coffs Harbour Bluewater Freediving Training (the "Activity") provided by the Coffs Bluewater Freedivers Club members, executive, organising committee, sponsors and other individuals (the "Activity Provider").

Consideration

Being of lawful age and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, the Activity Provider's spouse, heirs, legal representatives, and assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

The Participant understands that the Activity is an inherently dangerous activity with many unique risks such as:

- shallow water blackout;

- drowning;

- injury from collision with submerged or visible objects in the water;

- injury when entering or exiting the water;

- sickness or disease from chemicals or substances within the water;

- hypothermia;

- many others.

The Participant understands that the Participant would not be permitted to participate in the Activity unless the Participant signed this Waiver.

Concurrent Release

The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant by the Activity Provider, and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives, and assigns.

Fitness to Participate

The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. The Participant understands that the Activity is physically demanding and requires a high level of fitness and experience.

Full and Final Settlement

The Participant acknowledges and agrees with the Activity Provider that:

(1) the Activity Provider has given the Participant sufficient time to carefully read this Waiver;

(2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this waiver;

(3) the Participant fully understands the risks and claims that the Participant is waiving to participate in the Activity;

(4) the Participant is freely and voluntarily executing this Waiver; and

(5) the Participant is forevever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

Governing Law

This Waiver will be governed by and construed in accordance with the laws of the State of New South Wales.

Initials

I declare that I accept the disclaimer and release and that the information has provided accurate and complete.

For participants under the age of 18, this must be initialed and checked by a legal parent or guardian.