Diving Registration Form

By submitting this form, I understand that in the event an injury to my child(ren) while in my absence, I allow my child(ren) to be treated by a physician or other medical personnel. This may mean using ambulance and/or hospital services in the local area where the injury was sustained to properly treat said injury.

Just a reminder, t-shirts are given once per calendar year. If you received a t-shirt at an earlier clinic this year, you won’t receive a second one.

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