Easy Divers Travel Registration and Agreement The Atlantis Resorts and Azores Live Aboard

The Atlantis Resorts and Azores Live Aboard

The Philippines

April 9 - 23, 2017

NAME Click here to enter text.

ADDRESS Click here to enter text.

CITY Click here to enter text.

STATE Click here to enter text.

ZIP Click here to enter text.

HOME PHONE Click here to enter text.

WORK PHONE Click here to enter text.

CELL PHONE Click here to enter text.

EMAIL Click here to enter text.

PASSPORT # Click here to enter text. EXPIRATION DATE Click here to enter text.

DATE OF BIRTH Click here to enter text. (please write out the month)

EMERGENCY CONTACT Click here to enter text.

(Name, phone number, & relationship)

Applicant acknowledges that his acceptance on this trip is predicated on his assurance that he is physically fit to engage in ocean SCUBA diving and that he fully understands the risks involved and is prepared to assume such risks. Further, the participant represents that any equipment which he provides for himself meets current safety standards for equipment and that said equipment has been recently inspected by an agency or dive shop certified to do such inspections. If the participant rents or borrows equipment from Easy Divers he acknowledges that the equipment is in good working condition and that he has examined the equipment to insure that it is free from defects. The participant also understands that Easy Divers and its employees, owners, officers, or agents, shall not be held liable or responsible in any way for any result of the rental and/or use of the equipment, or as a result of product defect, or the negligence of any party, including the Released Parties, whether passive or active. Easy Divers reserves the right to deny any applicant for any reason whatsoever.

It is expressly understood and agreed that Easy Divers acts only as an agent for the owners and operators of various accommodations, facilities, services and carriers and assumes no responsibility for liability for service, transportation, or equipment made available by any resort, hotel, or other person or entity, either as to its safety, quality or condition, for the acts or any employee or agent of such establishment, firm, person, or entity. It is also understood and agreed that Easy Divers does not, by acceptance of this applicant, assume any responsibility or liability for the safety of any participating individual, particularly while such individual is engaged in underwater activities, whether alone or in groups, under the supervision of tour escort, or otherwise.

The tour escort is a certified diving professional, and will give freely of his diving knowledge and the experience. The participant accepts full responsibility for his own safety at all times, when acting independently or under the supervision of an Easy Diver Staff member. A course of SCUBA instruction cannot be offered or inferred as being part of the trip. Fees for any SCUBA training and SCUBA continuing education classes are to be separate from the price at which the trip is offered and conducted.

The undersigned further agrees that in order to induce Easy Divers to accept the applicant as a member of such program, the applicant does release and absolve Easy Divers and the owner, employees, and staff from any and all liability for property loss or damage, and/or from any and all damages resulting from death or personal injuries, including loss of services, which we or either of us may sustain on account of, arising out of, or in connection with the said program or from ownership, maintenance, use, operation or control of any automobile, ship, airplane, bicycle, boat, vehicle, inn, hotel, common carrier or otherwise.

It is further understood that remoteness of the area, local custom and prevailing weather conditions may cause substitution of facilities and/or equipment, minor inconvenience or modification to the diving portions of the program itinerary and Easy Divers reserves the right to modify and/or cancel arrangements due to unfavorable weather conditions and to substitute comparable facilities and equipment. No refunds can be made for cancelled trip or diving arrangements due to adverse weather, or for substitutions of facilities and/or equipment or minor inconvenience.

This application form signed by applicant is in all respects subject to the terms and conditions above, which have been read and unconditionally agreed to. I further agree to observe strictly and comply with such additional reasonable terms and regulations as Easy Divers may from time to time deem desirable or needful or prescribe during the course of the program.

All cancellations must be made in writing to Easy Divers and are effective the date of the postmark. Trip deposits are not refundable. For trips cancelled prior to 240 days out, there is a $250 cancellation fee, the balance of the deposit may be transferred to any other travel reservation, but must be used within 12 months of the cancellation date. Cancellation 120 days prior to departure will result in forfeiture of all monies paid.

Easy Divers highly recommends trip Cancellation/Interruption and Emergency Assistance insurance for your protection. You are a valued client and we want to do everything possible to make your trip more enjoyable and worry free. The unforeseen and the unexpected can occur before you leave or when you are away from home. Please note: if you are forced to cancel your trip (see the deadlines above) you may forfeit your entire trip fee.

To purchase travel insurance, please follow the instructions on the Travelex brochure included or visit the website at: www.travelexinsurance.com and use the Location #42-0002. Leave the agent code blank. Insurance cost is based on age of traveler and cost of trip. By including your airfare and land package you will be covered from the moment you leave your house until you return. Please carefully review the Restrictions of Coverage and the Description of Benefits before purchase and consider adding the Cancel for Any Reason provision for the additional 10% premium. Please initial below regarding your decision regarding travel insurance.

I did not enroll with trip insurance. I understand that I am liable for any cancellation penalties and out-of-pocket expenses incurred. I am aware that all packages are non-refundable. I will also make my own provisions in the event of an air schedule change, an inability of the supplier to provide any and all trip services, and/or emergency while I am traveling.

I do plan to enroll with trip insurance, either with Travelex or a provider of my choice. I will provide Easy Divers with a copy of my insurance declaration as soon as it becomes available. I fully understand the Restrictions and Description of Benefits as outlined on my purchased policy. I understand that if I must cancel my trip for reasons not included in my policy that I will forfeit all monies paid and that I will not seek to recover any monies paid to Easy Divers for this travel.

I do NOT accept the terms and conditions of this agreement. ☐

Easy Divers

8393 Jacob Drive

Cordova TN 38016

901-753-2926, email: SaralynnT@aol.com

NOTE: Please make a copy of the Information page of your passport and include it with this application. If sending by email, do NOT include your CVC number and Expiration Date to ensure your data remains secure.
ATHORIZATION FOR CREDIT CARD

I Authorize Easy Divers to use the following credit card in payment for The Atlantis Resorts and Azores Live Aboard.

Note: The signer of this statement MUST be the named cardholder.
CLIENT NAME (please print): Click here to enter text.
BILLING ADDRESS: Click here to enter text.
CITY, STATE, & ZIP: Click here to enter text.
BILLING TELEPHONE: Click here to enter text.
EMAIL: Click here to enter text.
CARD NUMBER: Click here to enter text.
EXPIRATION DATE: Click here to enter text.
CVC NUMBER: Click here to enter text.
SIGNATURE: Click here to enter text.
DATE: Click here to enter text.
CHARGE AMOUNT: Click here to enter text.
Apply amount to: Trip Deposit ☐

Airfare ☐