Forms 1, 2, 3 are required. If there are any YES answers on the Medical Form, then form 4 must be used and filled signed by a Medical Professional.
On each form the diver/student fills out the YELLOW highlighted blanks. If the diver/student is a minor, a Parent/Guardian fills out the GREEN highlighted blanks.
If you have participated in a class with MadisonScuba in the past year, have filled out these forms and have had NO changes to them, please email firstname.lastname@example.org for confirmation that you don’t need to fill them out again.
1 – SSI Medical Statement
Click here to download and print – 1 – SSI Medical Statement
2 – Statement of Understanding
Click here to download and print – Statement of Understanding 2016
3 – Liability Release
Click here to download and print – 3 – Assumption Of Risk Waiver – OTHER THAN ENTRY – 140923
4 – If any YES on Medical Statement
Click here to download and print – 4 – Guidelines Physical Examination RSTC