Formulari

If you answered NO to all 10 questions above, a medical evaluation is not required. Si us plau read and agree to the participant statement below by signing and dating it.
Participant Statement: Hi ha answered all questions honestly, i understand that I accept responsibility for any consequences resulting from any questions I mai have answered inaccurately or for my failure to disclose any existing or past health conditions.

If you answered YES to questions 3, 5 or 10 above OR per any de les qüestions on page 2, si us plau read and agree to the
statement above by signing and dating it AND emet all three pages of this form (Participant Qüestionnaire and the Physician's Evaluation Form) to your physician for medical evaluation. Participation in a diving course requereixes your physician's approval.