Diver check-in

1. Your details

Your documents
Take a clear photo or scan (JPG, PNG or PDF, max 10 MB each). Your certification card is printed at A6 size, so please make sure all text is readable. Files are used only for your check-in and for your safety.

2. Medical questionnaire

Scuba diving is demanding. Your lungs, heart and all air spaces in the body must be healthy. Answer every question YES or NO. If you are not sure, answer YES. A YES does not automatically stop you from diving, but a doctor may need to confirm that you are fit to dive.

Do you currently have an ear infection?

Yes No

Do you have a history of ear disease, hearing loss or problems with balance?

Yes No

Do you have a history of ear or sinus surgery?

Yes No

Do you currently have a cold, congestion, sinusitis or bronchitis?

Yes No

Do you have a history of respiratory problems, severe attacks of hay fever or allergies, or lung disease?

Yes No

Have you had a collapsed lung (pneumothorax) or chest surgery?

Yes No

Do you have active asthma, or a history of emphysema or tuberculosis?

Yes No

Are you taking medication that carries a warning about impaired physical or mental abilities?

Yes No

Do you have behavioural, mental or psychological problems, or a nervous system disorder?

Yes No

Are you or could you be pregnant?

Yes No

Do you have a history of colostomy?

Yes No

Do you have a history of heart disease, heart attack, or heart or blood vessel surgery?

Yes No

Do you have a history of high blood pressure or angina, or take medication to control blood pressure?

Yes No

Are you over 45 with a family history of heart attack or stroke?

Yes No

Do you have a history of bleeding or other blood disorders?

Yes No

Do you have a history of diabetes?

Yes No

Do you have a history of seizures, blackouts, fainting, convulsions or epilepsy, or take medication to prevent them?

Yes No

Do you have a history of back, arm or leg problems following an injury, fracture or surgery?

Yes No

Do you have a history of fear of closed or open spaces, or panic attacks?

Yes No

You answered YES to at least one question. Please describe it below. We will talk to you before the dive, and a doctor may need to confirm that you are fit to dive.

Details of your YES answers *

3. Liability release and assumption of risk

I understand that scuba diving has inherent risks that can result in serious injury or death. Diving with compressed air can cause decompression sickness, embolism or other pressure-related injuries that need treatment in a recompression chamber. The dive site may be far, in time or distance, from a chamber or medical facility. I choose to take part anyway.

The information in my medical questionnaire is accurate and complete to the best of my knowledge. I accept responsibility for any existing or past condition that I did not disclose.

I take part voluntarily. I personally accept all risks of harm, injury or damage, foreseen or unforeseen, that may happen during this program, including the knowledge, confined water and open water parts. I understand that diving is physically strenuous. If I am injured because of a heart attack, panic, hyperventilation or similar, I accept that risk.

To the extent permitted by law, I release Squatina Ronjenje d.o.o. (Squatina Diving), the dive professionals running this program, PADI Americas, Inc., their affiliates, and their employees, officers and agents (the “Released Parties”) from all liability for injury, death or damage to me, my family, my estate, heirs and assigns, however caused, including the negligence of the Released Parties. I understand that I am giving up my right to sue them, and that my heirs and beneficiaries give up theirs.

Non-agency disclosure: Squatina Diving is an independent PADI Member and is not an agent, employee or franchisee of PADI Americas, Inc. or its affiliates. PADI sets training standards but does not control the day-to-day running of Squatina Diving or the supervision of divers. I will not hold PADI liable for the actions, inactions or negligence of Squatina Diving or its staff.

I am of legal age and legally able to sign this release, or I have the written consent of my parent or guardian (who signs below). These terms are contractual and not just a summary. If any part is found invalid, the rest stays in force.

4. Confirm and sign

I have read the medical questionnaire and my answers are true and complete. I have read and accept the liability release and assumption of risk. I have read and accept the non-agency disclosure. I explicitly consent to Squatina Diving processing my health information (my medical answers) to decide whether I can dive safely, as described in the privacy policy.

The participant is under 18: a parent or guardian must complete and sign this form.

Parent or guardian full name (required if under 18)