I, the
undersigned,......................................................................................................................
legal representative of
.......................................................................................................
Allow my child to participate in
organized scuba diving, free diving/ apnea diving and snorkeling
activities
by the diving
centre..........................................................................................................
I authorize for my child to be taught,
trained, taken scuba diving by the center,
I authorize the managers of the diving
centre to take all necessary measures in case of emergency (medical
procedures...).
To this end, I acknowledge that I have
taken note of the risks related to the activity and authorize the
diving centre
................................................................................................................
to carry out any emergency evacuation
if necessary
During the period
from......................................................................................................................................................................
/ /..............
Date and Signature