GREAT LAKES DIVISION


United States Naval Sea Cadet Corps
Forms
MEDICAL STATEMENT
LIABILITY for OPEN WATER DIVER
LIABILITY  for ADVANCED OPEN WATER & SPECIALTIES
STANDARD SAFE DIVING PRACTICES STATEMENT OF UNDERSTANDING
PHYSICIAN'S GUIDELINES
 If you answered YES to any medical questions, you wii need your  doctor's signature to dive. This document is the complete medical form plus 4 pages of guidelines for your doctor.
  • Forms for SCUBA Diver Training and related activities
These must arrive before the training begins!

Download and fill out your required forms in black pen.  
Parent must also sign if you are under 18 years of age.  
All SCUBA students fill out the Medical Statement. Answer questions YES or NO. (do not use an "X")  If you answer "YES" to any question, you must have your doctor sign  page 2 and check the appropriate box under  Physician's Impression
Basic SCUBA students (Open Water Diver ) fill out this from
Advanced Open Water and Specialty SCUBA divers
fill out this form 
10 DAY Seabag List
5 DAY Seabag List
All SCUBA students fill out this form
Certified divers must have DAN membership and DAN Diver Insurance. 
Call:  1-800-446-2671
DiversAlertBNetwork.org
LIABILITY & ASSUMPTION OF RISK
All SCUBA students fill out this form
CONTINUING EDUCATION
ADMINSTRATION DOCUMENT
DIVERS CERTIFIED BY INTER-SEAS EXPLORATION MAY USE THIS CONDENSED COMPLETE FORM. 
Liability Forms & DAN
Mail to: 
Luke Clyburn         
 9000 Gale Road
 White Lake, MI  48386