$120.00 USD

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I UNDERSTAND THE PURPOSE OF SIGNING THIS DOCUMENT IS TO EXEMPT AND RELEASE IBUM,INC., AS WELL AS MY INSTRUCTORS, AFFILIATED PERSONNEL, THE FACILITY THROUGH WHICH I RECEIVE MY INSTRUCTION, AND ALL OTHER INVOLVED PERSONNEL INCLUDING BUT NOT LIMITED TO OWNERS, EMPLOYEES, CREW, VOLUNTEERS, DESIGNEES, AGENTS, SPONSORS, AND ADVERTISERS (HEREINAFTER THE “RELEASED PARTIES”) AND TO HOLD THESE ENTITIES AND INDIVIDUALS HARMLESS FROM ANY AND ALL LIABILITY ARISING AS A RESULT OF ANY ACTS OR OMISSIONS ON THEIR PART, INCLUDING, BUT NOT LIMITED TO, ACTIVE OR PASSIVE NEGLIGENCE OR NEGLIGENCE OF ANY TYPE. 

 I understand that hyperbarics, is a potentially hazardous activity with inherent risks and dangers associated therewith including, but not limited to, training accidents, risks associated with equipment / chamber failure, as well as acts of anyone which could result in my serious injury or death. BY WAY OF MY SIGNATURE, I EXPRESSLY ASSUME ALL RISKS of the hyperbaric training I received and all associated risks (whether directly related to diving or not), whether these risks are specifically set forth or not. IT IS MY INTENTION TO RELEASE THE RELEASED PARTIES FOR ANYTHING THAT MAY HAPPEN TO ME WHICH RESULTS IN PERSONAL INJURY, PROPERTY DAMAGE OR DEATH. 

 By my signature on this release, I hereby affirm that I have been advised and informed of the inherent hazards of hyperbaric activities. I understand that operating a recompression chamber and being responsible for others who are breathing compressed gas at pressure in a chamber involves inherent risks including, but not limited to, decompression injuries, embolism, oxygen toxicity, inert gas narcosis, and other barotrauma / hyperbaric injuries which can occur that require treatment in a recompression chamber or hospital. Nonetheless, I expressly wish to proceed with this training activity and assume all risks. I understand that I am signing this release, without modification or any other promises, in consideration of being permitted to enroll in this course and participate in the training activities. 

 IT IS MY EXPRESS INTENTION TO GIVE UP MY RIGHT TO SUE ALL INDIVIDUALS OR ENTITIES referred to herein ("the released parties") whether specifically named or not, from all liability arising as a consequence of any act or omission including, but not limited to, active or passive negligence of any type. I fully agree to indemnify and hold the released parties harmless from any and all liability for personal injury of any type, including wrongful death. I make this agreement on behalf of myself, my heirs and assigns. I expressly and contractually assume all risks in connection with hyperbaric activities whether directly related to diving or not. I understand and agree that it is my responsibility to make my family aware of the risks of injury or death from hyperbaric activities, that I accept these risks and choose to participate anyway. I hereby represent that I, or my estate, shall be liable in full for any claim brought on my behalf by my family, estate or heirs, arising from my injury or death while participating in activities. 

 BY WAY OF MY VOLUNTARY SIGNATURE, I AGREE THAT I HAVE FULLY READ AND UNDERSTAND THIS DOCUMENT IN ITS ENTIRETY. I UNDERSTAND THAT THIS IS A LEGALLY BINDING CONTRACT NOT TO SUE. 

I further understand that any training I receive does not constitute manufacturer's training on the operation of any hyperbaric chamber.  Specific unit training is compulsory prior to being qualified to operate alone.

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RENEWAL Clinical Hyperbaric Practitioner (CHP)

CHP represents the introductory 40 hour course of instruction in a practitioner's education and focuses on use of recompression chambers in clinical hyperbaric settings. This course teaches the medical use of oxygen at a level higher than atmospheric pressure and the management of patients in the clinical setting. In order to certify, members must be a MD, DO, PA or an ARNP. The equipment required consists of a pressure chamber, which may be of rigid or flexible construction, and a means of delivering 100% oxygen. This is a 40 hour course in Diving and Hyperbaric Medicine..