Dive Permit Application

Application for himself or herself and for his or her heirs and legal representatives and successors in the interest agrees to indemnify, defend, and hold harmless the City of Santa Rosa against all damages, actions, causes of actions, claims, judgments, and cost of litigation and attorney fees, which may in any way result from the use at any time by the Applicant of the Blue Hole or attendant facilities. Applicant agrees to pay for any and all damages and injuries to any city property caused by or resulting from Applicant's use of Blue Hole and attendant facilities. That he or she has read and will comply with Santa Rosa City Ordinance No. 414. Applicant states that he or she has current certification of skin or scuba diving qualifications by a recognized scuba training school. That he or she is familiar with skin or scuba diving and knows that such activity conducted at the Blue Hole or Perch Lake and attendant facilities and they not skin or scuba dive without the presence of another qualified and trained individual.

The City of Santa Rosa is allowing for the purchase of a scuba diving permit. Any dive store, instructor, student, or certified diver may request the permit. A copy of the diver's certification card must be attached to this request and the liability release must be completed and signed. If a student is a minor, the liability release must be completed and signed by a parent. Dive stores and instructors will also be required to provide a copy of their current insurance carrier for the period in which they are requesting an annual permit. All annual permits will run from January to December of the given year. It will be the responsibility of the individual dive store, instructor, or individual to purchase a new annual permit for the next valid year. It is the responsibility of the dive store or the instructor to obtain permits for their students. It is the dive store or instructor's responsibility to ensure that permits are worn on the students' BCD. Permits will be required to be worn on the diver's BCD while he is diving in the City of Santa Rosa or any property belonging to the City of Santa Rosa.

In consideration of the use on the date hereof and all future dates of the Blue Hole and attendant amenities provided to or used by the undersigned by the City of Santa Rosa, NM an applicant for himself or herself and for his heirs and legal representatives forever releases the City of Santa Rosa and all of its past, present and future subsidiaries affiliates, officers, employees, and agents and their representatives and successors in interest in connection with any damages, claims, demands, rights and courses of action of whatever kind of nature based upon present injuries or property damage to applicant or death of applicant arising out of the use of the Blue Hole and attendant amenities, whether or not caused by any negligence of the City of Santa Rosa.