Activity Forms
Before joining in any activities here at Jolly Roger Diving you must print, complete, and sign the necessary
forms prior listed for each activity section below.
Kayak Rentals
Scuba Diving (fun dives) & Snorkeling
SSI Medical Statement:
English(pdf) -
Spanish(pdf)
(When completing the Medical Statement you must answer each question on your past or present medical history
with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we request that you
consult with a physician prior to participating in freediving and/or scuba diving.)
Scuba Diving Training - recreational courses
SSI Medical Statement:
English(pdf) -
Spanish(pdf)
(When completing the Medical Statement you must answer each question on your past or present medical history
with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we request that you
consult with a physician prior to participating in freediving and/or scuba diving.)
Scuba Diving Training - professional courses
SSI Professional Training Assumption of Risk and Liability Release:
English(pdf)
SSI Medical Statement:
English(pdf) -
Spanish(pdf)
(When completing the Medical Statement you must answer each question on your past or present medical history
with a YES or NO. If you are not sure, answer YES. If any of these items apply to you, we request that you
consult with a physician prior to participating in freediving and/or scuba diving.)