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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 Enriched Air Diver Forms


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

There is three lines that you need to print your name.

Sign and date the form at the end. (If you are under 18, a parent or guardian must also sign and date.)
 
PADI Liability Release and Assumption of Risk Agreement for Enriched Air Diving

Please print your name on the two lines that ask for Student Name. 

Sign and date the form at the end. (fi you are under 18, a parent or guardian must also sign and date)

If you have Diver Accident Insurance, please enter your policy Number.
If you do not and want to learn more about it
.
 PADI Medical Statement
If you answered YES to any of the medical questions on the PADI Continuing Education Administration Document please print this form and take it to your physician prior to participating in scuba diving.