Shark Tour Risk Acknowledgement
Please complete this form to acknowledge and accept the risks associated with participating in the shark tour.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Tour Participation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Do you have any medical conditions or allergies we should be aware of?
*
No
Yes (please specify below)
If yes, please specify your medical conditions or allergies:
How would you rate your swimming ability?
*
Excellent
Good
Average
Poor
Have you participated in a shark tour or similar activity before?
*
Yes
No
Signature (Please sign below to confirm your acknowledgement and acceptance of risk)
*
Submit Acknowledgement
Submit Acknowledgement
Should be Empty: