Medical Waiver Information

Before beginning any in-water training, students must complete a “Basic Medical Waiver”. No student will be permitted to enter the water for training without having a completed medical waiver on file. Missing pool sessions may prevent your from completing the requirements for Certification. It is recommended that students, immediately download and complete the “Basic Medical Waiver”. Upon completion of the medical waiver, please follow the steps below;

any POSITIVE responses on the medical waiver;
1. Download and Print the Medical Waiver, Medical Professional.
2. This waiver MUST be filled out by a Medical Professional prior to the start of your course.
3. Once the waiver is filled out by a Medical Professional, Underwater World must be in possession of the waiver before the start date of your course.

all NEGATIVE responses on the medical waiver;
1. Email the Completed Medical Waiver to nancy.fisher@diveunderwaterworld.com prior to the start date of your course.
or
1. Drop the Completed Medical Waiver to Underwater World prior to the start date of your course.
or
1. Mail the Completed Medical Waiver to Underwater World. MUST be received prior to the start date of your course.


White Sheets

“White Sheets” provide Underwater World with crucial information for your Certification and your Certification Card. Please fill this form out completely before submitting it. If you have any questions, please contact Underwater World. All students must have “White Sheets” filled out prior to the start date of their course.

The pool location of the course you are registering for, i.e. Ambler YMCA. For divers registering for any continuing education course, fill in the course name, i.e. Advanced Diver.
Start Date of the Course *
Start Date of the Course
Name for Certification Card *
Name for Certification Card
Address *
Address
Sex *
Date of Birth *
Date of Birth
Home Phone
Home Phone
Cell Phone *
Cell Phone
Please be as descriptive as possible, i.e. instead of just "online", describe how online.
DO YOU OWN YOUR OWN MASK, FINS, AND SNORKEL? *
NAUI EDUCATION SYSTEM *
I understand that every student must have either the NAUI Education System: Digital Plus or NAUI Education System: Premier prior to starting the SCUBA Course and that completing the eLearning is a requirement that must be met before Certification is completed at the end of the course.
Medical Form *
I understand that I must complete a medical form and Underwater World must have received my completed medical form, prior to the start date of the class.