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PADI Discover Scuba Diving with Pisces School of Dive Participant Information First Name: _________________________ MI _____ Last Name: __________________________________ Date of Birth: _____ / _____ / ______ Month
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Document Date: 2014-03-01 21:48:44

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File Size: 32,74 KB

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Company

ACTIVITY IS CONDUCTED AND PADI AMERICAS INC. / PADI Americas Inc. / Dive Inc. / /

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Holiday

Assumption / /

IndustryTerm

scuba equipment / respiratory and circulatory systems / /

MedicalCondition

hyperbaric injury / allergies / panic attacks / active asthma / hayfever / seizures / fainting / nervous system disorder / decompression sickness / emphysema / bronchitis / agoraphobia / pneumothorax / stroke / heart disease / ear infection / diabetes / blackouts / serious injury / injury / embolism / lung disease / ear disease / heart attack / epilepsy / angina / FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY / hyperventilation / sinusitis / high blood pressure / blood disorders / injuries / tuberculosis / claustrophobia / asthma / /

MedicalTreatment

sinus surgery / ear surgery / heart surgery / surgery / chest surgery / /

Organization

Pisces School of Dive / Pisces School of Dive Participant Information First Name / /

/

Position

physician / /

PublishedMedium

the Discover Scuba Diving Review / /

URL

www.PiscesDivers.com / /

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