Spirit of Freedom - Diver Information Form

Booking Details

Date and Type of dive

Your Details

First Name*

Last Name*

Address*

City / State*

Phone*

Country*

Email*

Date of Birth*

Gender*

Address/Contact in Cairns

Emergency Contact Information

Emergency Contact

Phone*

Email*

Insurance and Dietary / Special Need Information

Insurance Company

Policy / Ref Number

Insurance Contact No.

Disabilities/Special Needs

Dietary Requirements

Diving Specifics

Minimum required dive experience level:

3 Day Cod Hole - 10 ocean dives. Open Water certification. 5 dives in last 12 months
4 Day Coral Sea - 20 ocean dives. Advanced Diver certification. 5 dives in last 12 months
Far North - 50 ocean dives. Advanced Diver certification. 5 dives in last 12 months

Less experience or lack of recent diving experience may result in limited diving due to environmental conditions and remote isolation of dive sites. We recommend a Scuba Refresher course and/or a day trip on Tusa Dive immediately prior to your trip with us.

Certificate Agency*

Certificate Level*

Maximum Depth Previously Dived:*

Number of Logged Dives*

Date of last dive*

Have you ever dived at night?*

Yes
No

Have you ever dived without a guide?*

Yes
No

Have you ever dived in currents?*

Yes
No

Do you require any rental equipment?*

Yes
No

Will you be taking any dives on Nitrox?*

Yes
No

Medical Statement

If you answered YES to questions 2, 3, or 4 you are required to have a current (less than 12 months) dive medical clearance from a doctor before you can dive. It is important to advise SOF reservations at the time of booking, (or ASAP).

1: Are you medically & physically fit to dive and /or snorkel?*

Yes
No

2: Have you ever suffered any illness or injury that may affect your ability to dive or snorkel safely?*

Yes
No

3: Are you currently suffering or have ever suffered from illness or injury or condition relating to any heart or lung disorder, asthma, epilepsy or insulin-dependent diabetes or any other condition that is contraindicative to diving?*

Yes
No

4: Are you currently suffering from any illness or injury or condition, or taking any prescription medication (other than contraceptives).If YES, please provide details of condition including Prescription Medication(s) Name and Dosage.*

Yes
No

Illness, Injury or Condition Details

Rental Equipment

Full Equipment Rental

AU$ 3 Day Rate - $130.00AU$ 4 Day Rate - $170.00AU$ 7 Day Rate - $270.00

Required

Full Equipment Size

Regulator & Dive Computer

AU$ 3 Day Rate - $50.00AU$ 4 Day Rate - $65.00AU$ 7 Day Rate - $100.00

Required

Dive Computer Only

AU$ 3 Day Rate - $35.00AU$ 4 Day Rate - $45.00AU$ 7 Day Rate - $70.00

Required

Buoyancy Control Device

AU$ 3 Day Rate - $50.00AU$ 4 Day Rate - $65.00AU$ 7 Day Rate - $100.00

Required

Torch & Cyalume sticks

AU$ 3 Day Rate - $15.00AU$ 4 Day Rate - $20.00AU$ 7 Day Rate - $30.00

Required

Wetsuit. 3mm & 5mm steamer

AU$ 3 Day Rate - $30.00AU$ 4 Day Rate - $40.00AU$ 7 Day Rate - $60.00

Required

Wetsuit. 3mm & 5mm steamer Size

PADI Advanced Course

AU$ 3 Day Rate - $265.00AU$ 4 Day Rate - $265.00AU$ 7 Day Rate - $265.00

Required

PADI Nitrox Course (incl fills for trip)

AU$ 3 Day Rate - $325.00AU$ 4 Day Rate - $325.00AU$ 7 Day Rate - $325.00

Required

Nitrox package (all dives on Nitrox)

AU$ 3 Day Rate - $75.00AU$ 4 Day Rate - $105.00AU$ 7 Day Rate - $180.00

Required

How Did You Hear About Us

How Did You Hear About Us?*

Which website did you find us on?*

Welcome back! When was your last trip on Spirit of Freedom?*

Which dive magazine or guide book did you see us in?*

Which dive show did you see us at?*

What's the name of the dive shop so we can thank them?*

Who is your travel agent so that thank them for the referral?*

Please tell us more...*

Booking Terms and Conditions

1. CANCELLATION POLICY

20% cancellation fee applies with 60-22 days notice
100% cancellation fee applies for 21 days or less notice
An administrative fee of AU$100 per person will apply for your cancellation of more than 60 days.

2. TERMS

"You are required to view our Passenger Terms and Conditions"

3. MEDICAL & TRAVEL INSURANCE

All SOF passengers are strongly advised to purchase a comprehensive Travel Insurance policy that includes

Trip Cancellation insurance
Lost/damaged personal belongings or equipment, due to any reason must be claimed on Travel Insurance.
Evacuation & Medical cover for Scuba Diving. Please be aware that Scuba Diving and in-water activities are not covered by all Travel Insurance companies. Please read the wording of your policy carefully. NOTE: In a Medical Emergency any evacuation, vessel relocation or medical expenses are the financial responsibility of that diver.

Divers Alert Network (DAN) www.diversalertnetwork.org & Dive Assure www.diveassure.com offer comprehensive insurance packages specifically for Scuba Divers.

*NOTE – All Online bookings through the Spirit of Freedom website will have these levies prepaid in booking confirmation.

4. PAY ON BOARD FEES - MARINE PARK LEVY

A $25.00 per person per trip fee (including $18.00 Environmental Management Charge), applies to all passengers entering the Great Barrier Reef Marine Park, and is payable on board.

On our 3&4 day tours, an additional $25.00 per person trip fee applies to all passengers for a Lizard Island Porterage.

NOTE – All Online bookings from the Spirit of Freedom website will have the Marine Park Levy included and prepaid with the booking.

5. LUGGAGE/ WEIGHT REQUIREMENTS

Due to light aircraft flights, guests on the 3 and 4 day tours have a total luggage weight limit of 20 kilograms (45 lb) per person. Secure storage is available at the Spirit of Freedom office for excess luggage.

6. OTHER

Certified divers must present a valid Certification Card and be equipped with a safety sausage, whistle and alternate air source (included in Hire Equipment package).

Same gender cabin share is not guaranteed

DISCHARGE OF LIABILITY

It is a fundamental condition of this contract between ‘Spirit of Freedom Pty Ltd’, and its directors, employees, agents and independent contractors (collectively and severally referred to as “SOF” on the one part and the name entered below. on the other part, that to the extent permitted by law “SOF” is hereby discharged and indemnified by my/our executor(s), my/our administrator(s) and my/our dependent(s) from any liability for any damage, death or injury whatsoever arising out of, or incidental to, this diving trip and other services provided by “SOF”, whether or not such damage or personal injury is caused or contributed to by “SOF”. I acknowledge that I will be participating in activities, which are undertaken for the purposes of recreation and involve a significant degree of physical exertion or physical risk. I further acknowledge that I am aware of the risks of injury associated with my participation in this diving trip and agree to voluntarily assume such risk. I further acknowledge that the use of any equipment hired or loaned to me by “SOF” is entirely at my own risk. I shall return any such equipment in good order and shall be financially liable for any breakage, loss or deviations there from.

Confirm

Medically and physically fit to dive - If you answered YES to Medical Statement questions 2, 3, or 4 a current (less than 12 months) Dive Medical will be required to clear you to dive. It is important to advise SOF reservations at the time of booking, (or ASAP). You must not dive on the trip if you feel unwell, have a chest cold or respiratory congestion.

Australian dive standards - Australian standards require that you have an Alternate Air Source (Octopus). Dive Computers, Safety Sausage (SMB) & Whistle are compulsory. (Lost, damaged or stolen rental equipment is the responsibilty of the Hirer). Travel Insurance is recommended.

Nitrox Diving - Nitrox Certification Card must be produced upon boarding. Fills will be at MAXIMUM 32%. Regulators must be compatible for use with nitrox. Package price above for all dives or individual fills may be purchased at $10 per fill.

Statement of understanding By adding your name, completing and submitting this form, I acknowledge that I have read, understood and accepted the Discharge of Liability, the Terms & Conditions of Travel outlined in this link, and agree to the Medical Statement.

Confirmation*