PADI Bubblemaker Statement /
Assumption of Risk and Liability Release Agreement
On the Medical Questionnaire: Please answer YES or NO to any of the following items to accurately reflect the participant's past medical history or present medical condition. A YES answer to any of there items requires that a participant obtain written medical approval before being allowed to participate in scuba diving activities. If this applies, please print off the PADI Medical Statement below to take to the physician.
Please complete the participant record section clearly and completly. There are two placed to print the participants name and a parent/guardian's name.
Participant and Parent/Guardian must sign and date the form at the bottom.