Special Event Information and Participation Form Information Page

I UNDERSTAND THE PURPOSE OF SIGNING THIS DOCUMENT IS TO EXEMPT AND RELEASE OCEANIC VENTURES, INC., AS WELL AS MY INSTRUCTORS, DIVE LEADERS, AFFILIATED PERSONNEL, DIVE FACILITY, TRAINING AGENCIES, ALL VESSELS (WHETHER OWNED, OPERATED, LEASED OR CHARTERED) AND ALL OTHER INVOLVED PERSONNEL INCLUDING BUT NOT LIMITED TO THEIR OWNERS, EMPLOYEES, CREW, VOLUNTEERS, DESIGNEES, AGENTS, SPONSORS, AND ADVERTISERS (HEREINAFTER THE “RELEASED PARTIES”) AND TO HOLD THESE ENTITIES AND INDIVIDUALS HARMLESS FROM ANY AND ALL LIABILITY ARISING AS A RESULT OF ANY ACTS OR OMISSIONS ON THEIR PART, INCLUDING, BUT NOT LIMITED TO, ACTIVE OR PASSIVE NEGLIGENCE OR NEGLIGENCE OF ANY TYPE. I understand that scuba diving, especially technical diving is a hazardous activity with inherent risks and dangers associated therewith including, but not limited to, accidents, training accidents, risks associated with equipment failure, perils of the sea, as well as acts of fellow divers which could result in my serious injury or death. BY WAY OF MY SIGNATURE, I EXPRESSLY ASSUME ALL RISKS OF SCUBA DIVING and all associated risks (whether directly related to diving or not), whether these risks are specifically set forth or not. IT IS MY INTENTION TO RELEASE THE RELEASED PARTIES FOR ANYTHING THAT MAY HAPPEN TO ME WHICH RESULTS IN PERSONAL INJURY OR DEATH. By my signature on this release, I hereby affirm that I have been advised and informed of the inherent hazards of scuba diving activities, including technical diving. I understand that breathing compressed gas underwater such as; compressed air, oxygen, enriched air (Nitrox), oxygen and/or helium (Trimix and/or Heliox) and/or neon in either Open Circuit, Semi-Closed Circuit or Closed Circuit Rebreathers involves inherent risks including, but not limited to, decompression injuries, embolism, oxygen toxicity, inert gas narcosis, marine life injuries and other barotrauma/hyperbaric injuries which can occur that require treatment in a recompression chamber or hospital. I understand that scuba diving trips, which are necessary for events, training and certification, may be conducted at a site that is remote, either by time or distance or both from a recompression chamber or from any medical facility. Nonetheless, I expressly wish to proceed with this diving activity and assume all risks. I hereby waive any obligation on the part of the released parties to provide first aid, rescue, recovery resuscitation or medical assistance. I understand that scuba diving activities are physically strenuous and that I will be exerting myself during this event, scuba diving event, course and related activities. If I am injured or killed as a result of cardiac events, panic, hyperventilation, oxygen toxicity, inert gas narcosis, drowning, medical events, or for any other reason, I expressly assume all risks and will not hold the released parties responsible for same. I understand that I am signing this release, without modification or any other promises, in consideration of being permitted to participate in this event or enroll in this course and participate in the diving activities and other related activities. I will be responsible for inspecting all of my dive equipment prior to each dive to ensure that I have all the necessary equipment for the dive, and that all the equipment is in proper working order with proper and sufficient gas supplies for the dive. I will not hold anyone responsible for my failure to inspect the equipment I use, analyze the gases I use and plan my dive. IT IS MY EXPRESS INTENTION TO GIVE UP MY RIGHT TO SUE ALL INDIVIDUALS OR ENTITIES OR VESSELS referred to herein ("the released parties") whether specifically named or not, from all liability arising as a consequence of any act or omission including, but not limited to, active or passive negligence of any type. I fully agree to indemnify and hold the released parties harmless from any and all liability for personal injury of any type, including wrongful death. I make this agreement on behalf of myself, my heirs and assigns. I expressly and contractually assume all risks in connection with scuba diving and other activities whether directly related to diving or not. I understand and agree that it is my responsibility to make my family aware of the risks of injury or death from diving activities, that I accept these risks and choose to participate anyway. I hereby represent that I, or my estate, shall be liable in full for any claim brought on my behalf by my family, estate or heirs, arising from my injury or death while participating in diving activities. BY WAY OF MY VOLUNTARY SIGNATURE, I AGREE THAT I HAVE FULLY READ AND UNDERSTAND THIS DOCUMENT IN ITS ENTIRETY. I UNDERSTAND THAT THIS IS A LEGALLY BINDING CONTRACT NOT TO SUE.

By way of my signature on this document, and in consideration for allowing my participation in this event, trip or course, which is being offered by Oceanic Ventures, Inc., I hereby irrevocably authorize Oceanic Ventures, Inc., Square Rig Photography, Eric V. Keibler and/or Ann Y. Keibler to use photographs of me and or my property and authorize him/(her/their and his/her/their assignees), licensees, legal representatives and transferees to use and publish (with or without my name, company name, or with a fictitious name) photographs, pictures, portraits or images herein described in any and all forms and media and in all manners including composite images or distorted representations, and the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form on CDs or internet websites), for any product or services, or other lawful uses as may be determined by the photographer or studio named here. I further waive any and all rights to review or approve any uses of the images, any written copy or finished product. I am of full legal age or have the permission of a legal guardian and have read and fully understand the terms of this release. Description of images: Images taken before, during or after the event, trip or course are covered by this form.

If the participant is under the age of 18, then the parent or guardian must sign this agreement and agree to be legally bound by it and furthermore be legally responsible for the minor participant, including being responsible for all damage, injury or death which may occur as a result of the minor’s participation in diving activities. The parent or guardian hereby agrees to be fully responsibility to the released parties for any damage, injury or death caused by the minor, including actions brought by the minor, for any damages whatsoever