Bluegrass Dive Club
form for each individual traveler.
If changes are required, please submit a NEW
check the Revision
If you are attempting to cancel an existing reservation - go back to the
Trip Page and select the
NOTE: You are responsible for making your own reservations. Please contact the state park.
Emergency Contact Information (Optional)
Bluegrass Dive Club Trip Waiver
applicant named on this form is under the age of 18, this form will not be
valid unless submitted by a Parent or someone assuming guardianship
responsibility for applicant. Please enter name
of Parent/Guardian submitting this form.
The Bluegrass Dive Club does not require but
recommends you secure a "Child Care Authorization" document for any
non-custodial person under the age of 18 you plan to bring. Click
==> HERE for a PDF copy
of this form.
Send mail to
with questions or comments about this web site.
Copyright © 1999 Bluegrass Dive Club
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