Objective:
The SayPro Participant Registration Forms are designed to gather essential personal, medical, and emergency contact information from participants prior to their participation in the 5-Day Diving Camp. The information collected ensures that SayPro can adequately prepare for the health and safety of all participants, while also ensuring that each diver meets the necessary medical and age requirements for safe diving. These forms help streamline the check-in process, ensure compliance with safety protocols, and provide the necessary documentation in case of emergencies.
1. Participant Personal Information
The Personal Information section of the registration form is designed to collect key details about each participant. This information will be used to facilitate communication, ensure the appropriate equipment is provided, and verify the participant’s eligibility to dive.
A. Basic Personal Information
Participants must provide their full name and essential identification details:
- Full Name (First, Middle, Last)
- Date of Birth
(Must be at least 12 years old to participate in the camp) - Gender
- Nationality
- Passport Number or National ID (for international participants)
- Contact Information:
- Phone Number (Mobile number preferred)
- Email Address
- Emergency Contact Phone Number (for use in case of an emergency)
B. Address Information
Participants will be asked to provide their current residential address:
- Home Address (Street, City, State, Postal Code, Country)
C. Diving Experience Information
This section will help instructors gauge the participant’s level of experience, which can be crucial in tailoring their training and safety protocols:
- Have you ever been scuba diving before? (Yes/No)
- If yes, provide:
- Number of Dives Completed:
- Certifying Organization (e.g., PADI, SSI, NAUI)
- Highest Diving Certification Level (e.g., Open Water, Advanced Open Water, Rescue Diver)
- Date of Last Dive:
- If yes, provide:
2. Medical Information
The Medical Information section is critical to ensure that all participants are physically fit for diving. Scuba diving can place strain on certain parts of the body, so the information collected here helps to assess any potential medical risks. Participants must be truthful and thorough when filling out this section to ensure their safety during the camp.
A. Health Screening Questionnaire
The medical screening form will ask participants to answer a series of questions about their medical history. The questions will be designed to identify any health issues that could affect the participant’s ability to dive safely. If any of the following questions are answered with “Yes,” the participant will be required to provide a medical clearance from a physician.
- Do you have any of the following medical conditions?
(Check all that apply)- Asthma, bronchitis, or emphysema
- Heart disease or high blood pressure
- Diabetes (Type 1 or Type 2)
- Seizures or epilepsy
- Recent surgery or injury (within the last 6 months)
- Pregnancy (if applicable)
- Psychiatric conditions (e.g., panic attacks, anxiety)
- Any other chronic illness or condition
- Any medications that may affect your ability to dive (e.g., blood thinners, asthma medications)
- History of decompression sickness or injuries from diving
- Have you ever experienced any of the following during or after diving?
- Chest pain
- Dizziness or fainting
- Difficulty breathing
- Excessive fatigue or weakness
- Blurry vision or any other sight problems
- Do you have any allergies?
(e.g., medication, food, environmental) - Are you currently taking any prescription medications?
(Please list all medications, including dosage and purpose) - Do you have any previous injuries, surgeries, or conditions that may require special attention while diving?
(e.g., joint replacements, broken bones, heart surgery, etc.) - Height and Weight:
- Height: _____ cm / in
- Weight: _____ kg / lbs
- Blood Type (optional but recommended)
B. Physician’s Approval
If any of the above questions are answered affirmatively, participants will need to obtain medical clearance from a physician before attending the camp. A signed note from the physician must verify that the participant is physically fit to engage in scuba diving activities. The note should also address any concerns related to the participant’s health and outline any precautions or recommendations that should be followed during the camp.
- Physician’s Name:
- Physician’s Contact Information:
(Phone number, Address) - Physician’s Signature:
- Date of Physician’s Clearance:
3. Emergency Contact Information
In the event of an emergency, SayPro needs to have immediate access to emergency contact details. This section collects the contact information of someone who can be reached in case of an emergency, whether during camp activities or afterward.
A. Primary Emergency Contact
- Name of Emergency Contact:
(Full name of the person to contact in case of an emergency) - Relationship to Participant:
(e.g., Parent, Spouse, Friend, Sibling) - Emergency Contact Phone Number:
(Preferably a mobile phone number) - Emergency Contact Email Address:
- Emergency Contact Address:
(Street, City, State, Postal Code, Country)
B. Secondary Emergency Contact
- Name of Secondary Emergency Contact:
- Relationship to Participant:
- Emergency Contact Phone Number:
- Emergency Contact Email Address:
4. Waiver and Consent Forms
As part of the registration process, participants (or their guardians, if under 18) must sign a waiver and consent form acknowledging the inherent risks associated with scuba diving and agreeing to adhere to the camp’s health and safety guidelines. This form also includes consent for the use of images or videos taken during the camp for promotional purposes.
A. Medical and Liability Waiver
- Acknowledgment of Risks:
Participants must acknowledge that they are aware of the risks involved in scuba diving, including the potential for injury, dehydration, decompression sickness, and other health concerns. - Release of Liability:
Participants agree to release SayPro, instructors, and affiliated organizations from any liability in the event of an injury or accident occurring during camp activities.
B. Consent for Emergency Treatment
- Authorization for Emergency Medical Treatment:
Participants or their guardians must consent to emergency medical treatment in case of an injury, including transport to the nearest medical facility if necessary. - Signature of Participant/Guardian:
(Required for minors or individuals under 18 years of age) - Date:
5. Additional Information
A. Special Requirements or Requests
- Participants may include any special requirements or requests for accommodation, including dietary restrictions, mobility concerns, or any specific needs that may require extra attention from instructors.
B. Consent for Use of Personal Information
- Data Privacy Consent:
Participants are asked to consent to the collection and processing of their personal information for the purposes of registration, emergency contact, and ensuring safety during the camp. Personal data will be handled with the highest level of confidentiality and in accordance with privacy regulations.
6. Submission Instructions and Deadlines
Participants must submit their completed registration forms at least two weeks before the start of the camp to allow sufficient time for the review of medical documentation and to ensure that all arrangements are in place.
- Submission Method:
- Forms can be submitted online via the SayPro registration portal, or
- Printed forms can be mailed or emailed to the SayPro camp office.
- Deadline for Registration:
All registration forms must be received by [insert specific deadline date].
Conclusion
The SayPro Participant Registration Forms are a vital part of the 5-Day Diving Camp, ensuring that each participant’s health, safety, and well-being are adequately considered before they enter the water. By collecting comprehensive personal, medical, and emergency contact information, SayPro can manage risks, provide necessary accommodations, and prepare for any potential health issues or emergencies. Completing these forms accurately and submitting them on time is essential for a smooth and safe experience at the camp.
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