Address:
201 Greenfield Road
Lancaster, PA 17601
717.39.SCUBA
info@lancasterscuba.com


 
Hours of Operation:
Monday, Wednesday, Saturday 
10AM - 5PM
Tuesday, Thursday, Friday
10AM - 7PM



 

PADI Open Water Diver Forms


PADI Liability Release/Assumption of Risk/Non-Agency Acknowledgement Form
Please print your name on the first two blank lines. Sign and date the form at the bottom.
**NOTE (If participant is under 18, parent and/or guardian must also sign and date
.)  

PADI Standard Safe Diving Practices Statement of Understanding
Please print your name on the first blank line. Sign and date the form at the bottom.
**NOTE (If participant is under 18, parent and/or guardian must also sign and date
.)

PADI Medical Statement
Please answer each of the questions on your past or present medical history with a YES or NO. (Y, N or Check marks can not be accepted.) If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving.

Sign and date the form at the bottom.
**NOTE (If participant is under 18, parent and/or guardian must also sign and date
.)