Please read carefully before signing

I, ______________________________________________________________,

hereby affirm that I have been well advised and thoroughly informed of the inherent hazards of skin diving, scuba diving and sailing on ocean going yachts.

Further, I understand that diving with compressed air and other breathing gases involves certain risks and injuries can occur that require treatment in a recompression chamber. I further understand that the open water diving trips are conducted at sites that are remote, either by time or distance or both, from a recompression chamber or any medical facility, and nonetheless agree to proceed with such dives. I hereby personally assume all risk in connection with said trip for any harm, injury, loss or damage that may befall me or my belongings as a result of my participation in the trip, whether foreseen o unforeseen, and I still wish to proceed with the trip in spite of the absence of a recompression chamber or medical facility in proximity of the dive site.

I understand and agree that neither ARVID MARTINKAT nor UAA ADVENTURES located in the Rep. of Panama, in the province of Chiriqui, in the City of David, may be held liable in any way for any occurrence in connection with this journey that may result in injury, death or damages to me and my family, heirs, or assigns, and in consideration of being allowed to enroll in this trip, I hereby personally assume all risks in connection with said trip, for any harm, injury or damage that may befall me or my equipment while I am enrolled as a participant of the trip, including all risks connected therewith, whether foreseen or unforeseen; and further to save and hold harmless said program and persons from any claim by me, or my family, estate, heirs, or assigns, arising out of my enrolment and participation in this trip.

I further state that I am lawful age and legally competent to sigh this affirmation and release, or that I have acquired the written consent of my parents guardians; that I understand the terms herein are contractual and not a mere recital; and that I have signed this document on my free act.

It is the intention of   ___________________________________________________________

by this instrument to exempt the release of ARVID MARTINKAT and UAA ADVENTURES from all liability whatsoever for personal injury, property loss, property damage or wrongful death caused by negligence.

I have fully informed myself of the contents of this affirmation and release by reading before I signed it.

____________________________________________           ___________________________________________
Signature                                                                                                          Date