2024 Summary Visiting Cave Diver
Collect your online responses with Jotform and turn them into professional, elegant PDFs automatically.
BUZO/DIVER # 9172
Nombre Apellidos
Centro de Apoyo/Support Facility
XXXXX
(+52)984-111-6666
info@creer-mx.com
Contacto/Contact: Persona de contacto
Vigencia/Validity
EANx Certificado/EANx Certified
Nivel de certificación/Level of Certification
Cave Instructor
Asociación/Association
Asociación
Nº de certificación/Certification Nr.
959595959
Experiencia / Experience
Nota: Si no has buceado en cuevas en un año, se recomienda una revisión con un instructor de cuevas local. Por favor discute este tema/haz los arreglos necesarios con tu centro de apoyo. / Note: If you have not cave dived within one year a cave review with a local cave instructor is recommended. Please discuss this issue/ make the necessary arrangements with your support facility.
Nota: Si esta es la primera vez que buceas en cuevas en México te recomendamos ampliamente que hagas una revisión de cuevas o por lo menos un buceo guiado en cuevas con un instructor de cuevas local como orientación. Por favor discute este tema/haz los arreglos necesarios con tu centro de apoyo. / Note: If this is the first time that you cave dive in Mexico we highly recommend that you do a cave review or at least a guided cave dive with a local cave instructor for orientation. Please discuss this issue/make the necessary arrangements with your support facility.
Con mi firma electrónica a continuación, certifico que he leído el presente Consentimiento informado/Liberación de responsabilidad, que comprendo y acepto plenamente sus términos, que renuncio a derechos sustanciales al firmarlo, que soy legalmente competente para firmarlo y que lo firmo voluntariamente. / By my eSignature below, I certify that I have read this Informed Consent/Liability Release, that I fully understand and accept its terms, that I give up substantial rights by signing it, that I am legally competent to sign it, and that I sign it voluntarily.
Además, con mi firma electrónica a continuación, certifico que autorizo a CREER a almacenar y transmitir mis datos personales en formato electrónico o impreso al servicio de asistencia implicado, así como a cualquier otra parte asociada a la expedición de mi cave pass. / Further, by my eSignature below, I certify that I allow CREER to store and pass on my personal data in an electronic or printed format to the involved supporting facility as well as to any other party associated with the issuance of my cave pass.
Nombre completo/Full Name: Nombre Apellidos
eFirma/eSignature:
Fecha/Date: 08-11-2024
Instructores que planean conducir entrenamiento durante su visita en QRoo / Instructors planning to contuct training during their visit in QRoo
Consentimiento informado/Liberación de responsabilidad para instructores que planean conducir entrenamiento en Quintana Roo, Mexico / Informed Consent/Liability Release for instructors planning to conduct training in Quintana Roo, Mexico
Con mi firma a continuación acepto lo siguiente:
***
With my signature below I agree to the following:
I affirm that I assume all responsibility for the students in my purview and cannot hold any Released Parties at fault.
I affirm that I am current and practiced in the level of training I am conducting.
I affirm that any course I conduct locally will be in accordance with local procedures as outlined by CREER.
I affirm that any witnessed failure to comply with agency standards and/or local teaching procedures may result in the requirement to hire a local instructor to mitigate safety and/or local practices.
I affirm that any witnessed failure to comply with mitigation procedures may result in denial of service for myself and my students up to and including denial of service, equipment rental, and/or gas fills by any and all local dive operations.
I affirm that I have read the above document titled "Rules for Cave Training in Quintana Roo" published by the Comité Regional de Espeleobuceo, Ecología y Regulación (CREER) Line and Safety Committee, and that I will comply with its diving guidance and protocols.
Nombre completo/Full Name: Nombre Apellidos
eFirma/eSignature:
Fecha/Date: 10-11-2024
Create a nonprofit donation consent form in seconds. Drag-and-drop to design and customize. Collect signatures from any smartphone, tablet, or desktop.
Create a rent ledger agreement in seconds. Fill out and e-sign from any smartphone, tablet, or desktop. Easy to customize and share. Converts to a PDF.
Create a liability form for any and all of your needs. Works on all desktop, tablet, and mobile devices. Drag and drop to customize. Collect e-signatures.
Create an online therapy consent form to gather patient consent. Sign and fill out on any device. Drag and drop to fully customize. No coding knowledge required.
Create a release of information document in seconds. Works great on any device. Easy to share and collect e-signatures. Drag and drop to customize. No coding needed.
Create a professional medical release template. Great for medical practices and therapists. Collect signatures online. Converts to PDF. Easy to customize and share.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.