RiverDiver Dive Charters

All persons on RiverDiver require reading and submitting a waiver before boarding any vessel.

You may fill the form below, or download the waiver and email instead.

Contact

First Name

Last Name

Email

Phone

Street Address

City

Province / State

Postal / Zip Code

Country

Diver

Certification Number

Medical

Allergies

Medications

History

Heart Attack
Angina
Asthma
Bronchitis
Diabetes
Emphysema
Seizures
Stroke
High Blood Pressure

Signature

Clear