Student Registration


Congratulations!

You can soon be diving the world’s first recreational, non-technical, fully auto, rebreather – the Poseidon Discovery MkVI All you have to do is complete this Student Registration below.

Just complete the form below for Student Registration on a recreational rebreather course arranged by one of our international centres. Such as Dive In, Diveline or Scubadoo in the UK, or the WorldWide Dive & Sail liveaboard operation.

Click here to access the pre-requisite qualifications and experience required to do each course. They will help you choose the one that’s best for you.

As soon as we receive your registration, we’ll send you an email confirming the download link and password. You can then access the e-Study materials and start the course today!

Course(s)

Required Click your chosen course. If you are doing (and paying for) more than one course now, hold the CTRL key down while you click your chosen courses.

Required Dive centre

Required I've paid I want to pay now 

Required Payment method

Contact

Required Email

Required First name

Required Last name

Required Gender Male Female 

Required Date of birth (dd/mm/yyyy)

Required Address line 1

Required Address line 2

Required City or town

Required Post or zip code

Required Country

Required Preferred phone

Alternative phone

Skype address (so we can support you during your e-Studyz)

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We will not pass your details to any other company
but we may email you updates, news and developments

Diving Qualifications

I am a qualified diver.

Required Date of last dive (dd/mm/yyyy)

Here are my qualifications.

Applicable? AIR Agency

Applicable? AIR Certification

Applicable? NITROX Agency

Applicable? NITROX Certification

Applicable? TECH Agency

Applicable? TECH Certification

Applicable? REBREATHER Agency

Applicable? REBREATHER Certification

ID photo for your certification card

Upload your head and shoulders passport-style photo (smiling is OK)
Crop it first to 2.8cm/106pixels wide by 3.8cm/144pixels high
Click "Choose File" or "Browse" below (depending on your browser)
Select your photo from where you stored it in your PC
(If you encounter difficulties you can email it to ian@discoverymkvi.com.)

Medical Statement for Participation in Scuba Diving Activities - Participant Record (Confidential Information)

This is a statement in which you are informed of some potential risks involved in scuba diving and of the conduct required of you during the scuba-training program. Your signature on this statement is required for you to participate in the scuba-training program offered by the above-named Dive Centre.

Read and discuss this statement prior to signing it. You must complete this Medical Statement, which includes the medical-history section, to enrol in the scuba-training program. If you are a minor, you must have this statement signed by a parent.

Diving is an exciting and demanding activity. When performed correctly, applying correct techniques, it is very safe. When established safety procedures are not followed, however, there are dangers. To scuba dive safely, you must not be extremely overweight or out of condition. Diving can be strenuous under certain conditions. Your respiratory and circulatory systems must be in good health. All body air spaces must be normal and healthy. A person with heart trouble, a current cold or congestion, epilepsy, asthma, a severe medical problem or who is under the influence of alcohol or drugs should not dive. If taking medication, consult your doctor and the Instructor before participation in this program. You will also need to learn from the Instructor the important safety rules regarding breathing and equalization while scuba diving. Improper use of scuba equipment can result in serious injury. To use it safely, you must be thoroughly instructed in its use under direct supervision of a qualified Instructor.

If you have any additional questions regarding this Medical Statement or the Medical History section, review them with your Instructor before signing.

The purpose of this medical questionnaire is to find out if your doctor should examine you before participating in recreational diver training. A positive response to a question does not necessarily disqualify you from diving. A positive response means that there is a pre-existing condition that may affect your safety while diving and you must seek the advice of your physician. Please answer the following questions on your past or present medical history with a NO or a YES. If you are not sure, answer YES. If any of these items apply to you, we must request that you consult with a physician prior to participating in scuba diving.

Required Could you now be pregnant or are you attempting to become pregnant?

Required Do you regularly take prescription or nonprescription medications (with the possible exception of birth control)?

Required Are you over 45 years of age and have one or more of the following conditions?
currently smoke a pipe, cigars, or cigarettes
have a high cholesterol level
have a family history of heart attacks or strokes

Required Asthma, wheezing with breathing, or wheezing with exercise?

Required History of diving accidents or decompression sickness?

Required Frequent or severe attacks of hayfever or allergy?

Required History of recurrent back problems?

Required Frequent colds, sinusitis or bronchitis?

Required History of back surgery?

Required Any form of lung disease?

Required History of diabetes?

Required History of chest surgery?

Required History of any heart disease?

Required Pneumothorax (collapsed lung)?

Required History of back, arm, or leg problems following surgery, injury or fracture?

Required Behavioral health problems?

Required Inability to perform moderate exercise (example: walk one mile within 12 minutes?)

Required History of heart attacks?

Required History of heart surgery or blood vessel surgery?

Required Claustrophobia or agoraphobia (fear of closed or open spaces)?

Required History of high blood pressure or take medicine to control blood pressure?

Required Epilepsy, seizures, convulsions or take medications to prevent them?

Required Recurring migraine headaches or take medications to prevent them?

Required History of bleeding or other bleeding disorders?

Required History of blackouts or fainting (full/partial loss of consciousness)?

Required History of any type of hernia?

Required History of ear or sinus surgery?

Required History of ear disease, hearing loss or problems with balance?

Required Do you frequently suffer from motion sickness (seasick, carsick, etc.)?

Required History of any type of hernia?

Required History of HIV?

Required History of ulcers or ulcer surgery?

Required History of colostomy?

Required History of drug or alcohol abuse?

Required History of problems equalizing (popping) ears with airplane or mountain travel?

Required Any medical problem not listed? (or state None)

Safe Diving Practices Statement for Poseidon MKVI Rebreather

Please read carefully before signing.

This is a statement in which you are informed of the established safe diving practices for skin and scuba diving. These practices have been compiled for your review and acknowledgement and are intended to increase your comfort and safety in diving. Your electronic signature now, and physical signature before the start of the course, on this statement is required as proof that you are aware of these safe diving practices. Read and discuss the statement prior to signing it. If you are a minor, this form must also be signed by a parent or guardian.

By my initials and signature on this document, I,

Required Your name

, evidence that I have fully read, contemplated, and understand the contents of this Statement.

Maintain good mental and physical fitness for diving. Avoid being under the influence of alcohol or dangerous drugs when diving. Keep proficient in diving skills, striving to increase them through continuing education and reviewing them in controlled conditions after a period of diving inactivity, and refer to your course materials to stay current and refresh yourself on important information.

Be familiar with your dive sites. If not, obtain a formal diving orientation from a knowledgeable, local source. If diving conditions are worse than those in which you are experienced, postpone diving or select an alternate site with better conditions. Engage only in diving activities consistent with your training and experience. Do not engage in cave or technical diving unless specifically trained to do so.

Use complete, well-maintained, reliable equipment with which you are familiar; and inspect it for correct fit and function prior to each dive. Follow equipment and procedural checklists, and do not dive if there is a possible fault or you feel uncomfortable about the dive. Maintain equipment and follow manufacturer's guidelines for service and maintenance. Monitor and replace consumable products and use only manufacturer's recommended replacements. Deny use of your equipment to uncertified divers. During all open water training dives, each student diver, Certified Assistant and Instructor must be equipped with: fins, mask and snorkel; compressed gas cylinder and valve; buoyancy control device (BCD) (with tank mount or separate backpack) and low pressure inflator; regulator and alternate air source; submersible pressure gauge (in addition to a computer-integrated monitoring device); depth gauge (or other monitoring device e.g. diving computer); weight system and weights (if necessary for neutral buoyancy); adequate exposure protection appropriate for local diving conditions; at least one audible emergency surface signaling device (whistle, air horn, etc.); timing device (or other monitoring device e.g. diving computer); compass; knife/diver’s tool/cutting device (except where prohibited by law or local regulations). This is considered the minimum equipment for recreational dives after you are certified. Instructors and Certified Assistants must also be equipped with: two surface signaling devices – one audible (whistle, air horn, etc.) and one visible (inflatable surface tube, flare, signal mirror, etc.); a dive flag where required by local law (consider using a surface support station with a dive flag); access to a first aid kit at the dive site; access to oxygen at the dive site.

Listen carefully to dive briefings and directions and respect the advice of those supervising your diving activities. Recognise that additional training is recommended for participation in specialty diving activities, in other geographic areas and after periods of inactivity that exceed six months.

Adhere to the buddy system throughout every dive. Plan dives with your buddy, including communications, procedures for reuniting in case of separation and emergency procedures.

Be proficient in dive table usage. Make all dives no decompression dives and allow a margin of safety. Have a means to monitor depth and time underwater. Limit maximum depth to your level of training and experience. Slowly ascend from every dive at the rate prescribed by the manufacturer of your equipment, or in the absence of any guidelines, at a rate of not more than 9 metres/30 feet per minute. Follow any computer-required stops. Make a safety stop as an added precaution, usually at 5 metres/15 feet for three minutes or longer.

Maintain proper buoyancy. Adjust weighting at the surface for neutral buoyancy with no air in your buoyancy control device. Maintain neutral buoyancy while underwater. Be buoyant for surface swimming and resting. Have weights clear for easy removal, and establish buoyancy when in distress while diving.

Breathe properly for diving. Never breath-hold or skip-breathe when breathing compressed air, and avoid excessive hyperventilation when breath-hold diving. Avoid overexertion while in and underwater and dive within your limitations.

In addition, if diving on a rebreather, monitor and obey the unit’s alarm systems. If the mouthpiece vibrates, then change the switch position. If you hear the alarm, then switch to open-circuit immediately. If the HUD light flashes, then look at the LCD screen on the electronic Primary Display. Monitor and know your partial pressure of oxygen (PPO2) at all times to ensure it remains within the manufacturer’s recommended limits. Monitor all other information provided by the Primary Display, and act on it. When feeling unwell or abnormal underwater, or if in doubt, bail out - switch to open-circuit and ascend under control to the surface. Minimise flooding of the breathing loop, by retaining the regulator in your mouth when on closed-circuit, maintaining a seal around the mouthpiece, and switching to open-circuit before removing the mouthpiece underwater or on the surface. Plan successive multiple dives on the same unit and same battery. Monitor your CO2 absorbent and allowable dive time.

Use a boat, float or other surface support station, whenever feasible.

Know and obey local dive laws and regulations, including fish and game and dive flag laws.

Liability Release and Express Assumption of Risk

This liability release may be used as evidence in a court of law if you decide to sue any released party or person. Please read this document. I,

Required Your name

hereby agree that I have been fully advised and completely informed of the inherent risks and hazards associated with SCUBA diving and the utilization of the compressed air gases relevant to my course, including Air, Enriched Air Nitrox and oxygen.

I, further, completely understand that diving such compressed air gases or exceeding oxygen tolerance levels involves certain inherent risks and hazards to include: decompression illness, lung expansion injuries, arterial gas embolism, associated decompression sickness maladies, central nervous system or whole body oxygen toxicity seizures, hypoxia, asphyxia, hypercapnia, and possible caustic burns. These maladies may result in permanent injury or even death. By signing this document I evidence that I have been fully appraised of the risks and hazards associated with the type of activity that I am contemplating and I expressly assume these risks. I, further fully understand that the open water training sites for this activity may be conducted in point of time and distance in a remote location not readily accessible to first aid, rescue and recompression chamber facilities. Nevertheless, I still choose to proceed with the instructional dives despite the possible lack of recompression or medical facilities to assist me should I become injured.

I fully understand and agree that neither my Instructor(s), nor the above-named Dive Centre through which I receive my instruction, nor the UWECO training agency, nor any of their respective employees, officers, agents or assigns, may be held liable or responsible in any fashion for any injury, death or damages to me or my family, heirs or assigns that may occur as a result of my participation in this UWECO diving course of instruction or as a result of active or passive negligence of any party including the released parties named in this document.

In exchange for me being allowed to enrol and participate in this UWECO program of instruction I hereby personally assume all risks in conjunction or connection with this class or any harm or injury or damages that may befall me, my heirs or assigns while I am enrolled as a student in this course. I specifically assume all risks associated with my participation in this course of instruction whether foreseen or unforeseen.

In consideration for my participation in this course of instruction I save and hold harmless and agree to indemnify my Instructors, the above-named Dive Centre through which I am receiving my instruction, and the UWECO training agency of any claim or lawsuit brought by me, my family, my estate, my heirs or assigns arising out of or in connection or in conjunction with my enrolment and participation in this UWECO program of instruction including both claims arising during the course of instruction or after I have received my certification, and it is my express intention to release the parties cited from all liability and responsibility whatsoever for personal injury, property damage or wrongful death however caused.

I also understand fully that SCUBA diving activities are physically strenuous, that they require specialized training and that this particular course of instruction offered to me may be technical in nature. I also understand that I will be physically exerting myself during this course and that should I become injured as a result of a heart attack, failure to control my panic, failure to control my breathing or hyperventilation, I specifically assume the risk of any resulting injuries and in exchange for my participation in this course I expressly agree that I will not hold the released individuals in this document responsible.

By signing this document, I evidence that I have fully read, contemplated, and understand the contents of this liability release and express assumption of risk, and release my right to sue. I agree to the terms and conditions of this document in exchange for my participation in this course. I further state that I am of lawful age and legally competent to sign this release or that I have acquired the specific written consent of my parent or guardian.

I understand that this document constitutes a contract between myself and the released parties cited.

Under 18?

Your parent or guardian must enter their name and relationship below
and tick the agreement box for you

Applicable? Name

Applicable? Relationship

Required I am 18 or older andI accept and agree to all terms 

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