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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 Seal Team 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.
 
 PADI Medical Statement
If you answered YES to any of the medical questions on the PADI Seal Team Statement, please print this form and take it to your physician prior to participating in scuba diving.