Participant Registration Form
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EMR Community Guided Snorkel Day
First Name *
Last Name *
Email *
Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Date of Birth *
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Medical Conditions *
Required
Please elaborate on Medical Conditions from above
Preferred Snorkel Time (select one option). *
Required
Declaration
I hereby acknowledge the risks associated with snorkelling. I fully understand and have read the potential risks and risk reduction strategies. I agree to disclose any medical conditions on this form and to my assigned guide. I acknowledge that it is my responsibility to have medication on hand. I agree to follow the instructions of my guide and also agree for my photo to be taken and used for promotion (including press releases and on social media). I have read the paragraph above and the laminated Risk Management diagram for the event and I agree to be bound by it.

Vaccination passes for all those age 12 and over will be required for all* public events in the COVID Traffic Light framework for the summer of 2021/22 *unless specified otherwise

Please bring the QR code for My Vaccine Pass on your phone or printed to be scanned & verified on the event. You will need to bring photo ID. Some events may require your vaccination status to be verified prior to registration.

Distancing and face coverings to be worn when practical.

Our priority is to get people under the water this summer!
In entering your name and date below, you understand the risks and liability outlined above.
Date *
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Your Full Name *
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