Release Waiver

This waiver is a yearly requirement from Joint Base Pearl Harbor Hickam.

Sea Lancers Liability Waiver

First Name

Last Name

Date of Birth

As a member of the Sea Lancers Diving Club, I agree to hold harmless and indemnify the United States, Department of Defense, Department of the Navy, and any of its agents or sub-units for claims arising from any of Sea Lancers Diving Club's activities.

I save and hold harmless the Sea Lancers Diving Club and it's representatives/officers from any claim or lawsuit by me, my family, estate, hers, or assigns, arising out of my participation in the Sea Lancers Diving Club

By signing this form, I agree to all the terms, conditions, and releases herein as indicated by the checkmarks next to each statement. I understand my electronic signature is legally binding and carries the same consequences as a written signature.

Signature

Today's Date

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