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SpearfishingFUNdamentals

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Personal Details

First Name

Last Name

Email Phone Date of Birth

Emergency Contact

Name & Phone

Freediving Qualifications

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Medical Declaration

Freediving is a strenuous activity with inherent risks. Please confirm none of the following apply to you, or that you have sought medical clearance if they do:

☐ Regular medication (prescribed or over-the-counter)

☐ Mental illness, mood disorder, or psychiatric condition

☐ Neurological conditions — seizures, stroke, blackouts, severe migraines

☐ Cardiovascular conditions — heart attack, irregular heartbeat, uncontrolled high blood pressure

☐ Pulmonary conditions — asthma, collapsed lung, emphysema, breathing problems

☐ Ear, nose or throat conditions — sinus surgery, ruptured eardrum, persistent sinus infection

☐ Eye conditions — severe myopia, retinal detachment, eye surgery

☐ Diabetes requiring insulin or oral medication

☐ Previous freediving/scuba incident — blackout, decompression sickness, lung squeeze

☐ Currently pregnant

I confirm none of the above conditions apply to me, or I have obtained medical clearance from a physician to participate in freediving activities.

Liability Release

By joining Spearfishing FUNdamentals you acknowledge and agree to the following:

I am aware that freediving has inherent risks which may result in serious injury or death.
I choose to participate voluntarily and assume all risks of the experience, whether foreseen or unforeseen.
Neither Spearfishing FUNdamentals, its instructors, employees, officers, agents or assigns may be held liable for any injury, death or damages to me, my family, estate or heirs as a result of my participation.
I am in good mental and physical fitness for freediving and am not under the influence of alcohol or drugs contraindicated for freediving.
I am of lawful age, legally competent to sign this release, and understand I am waiving legal rights.

I have read, understood and accept the Liability Release and Assumption of Risk above. Type your full name to confirm

Your name must match your first and last name entered above.

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