{"id":352,"date":"2018-10-26T16:29:35","date_gmt":"2018-10-26T20:29:35","guid":{"rendered":"https:\/\/gypsydivers.com\/?page_id=352"},"modified":"2022-11-30T11:39:58","modified_gmt":"2022-11-30T16:39:58","slug":"trip-application","status":"publish","type":"page","link":"https:\/\/gypsydivers.com\/forms\/trip-application\/","title":{"rendered":"Trip Agreement"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'>Thank you for signing up for a trip with us! This agreement is sent to our trip leaders a month or two before your trip to ensure we\u2019re all on the same page. It also gives our trip leaders a chance to get to know you and your diving history before the trip so that they can plan accordingly.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/352' data-formid='3' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_3_44\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_44\" ><h2 class=\"gsection_title\">Destination Information:<\/h2><\/li><li id=\"field_3_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\" ><label class='gfield_label gform-field-label' for='input_3_1'>Destination Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_60\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_60\" ><label class='gfield_label gform-field-label' for='input_3_60'>Trip Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_3_60' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\" ><label class='gfield_label gform-field-label' for='input_3_4'>Trip Leader(s):<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_20\" ><h2 class=\"gsection_title\">Personal Information:<\/h2><\/li><li id=\"field_3_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\" ><label class='gfield_label gform-field-label' for='input_3_5'>Your name as it appears on your passport:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_3_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_61\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_61\" ><label class='gfield_label gform-field-label' for='input_3_61'>Passport EXPIRATION DATE (Must be 6 months after the trip):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_61' id='input_3_61' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_3_61_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_61_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_61' class='gform_hidden' value='https:\/\/gypsydivers.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_53\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_53\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Home Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_3_53' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_53_1_container' >\n                                        <input type='text' name='input_53.1' id='input_3_53_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_53_1' id='input_3_53_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_3_53_2_container' >\n                                        <input type='text' name='input_53.2' id='input_3_53_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_53_2' id='input_3_53_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_3_53_3_container' >\n                                    <input type='text' name='input_53.3' id='input_3_53_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_53_3' id='input_3_53_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_3_53_4_container' >\n                                        <input type='text' name='input_53.4' id='input_3_53_4' value=''      aria-required='true'    \/>\n                                        <label for='input_3_53_4' id='input_3_53_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_3_53_5_container' >\n                                    <input type='text' name='input_53.5' id='input_3_53_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_53_5' id='input_3_53_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_3_53_6_container' >\n                                        <select name='input_53.6' id='input_3_53_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_3_53_6' id='input_3_53_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_7\" ><label class='gfield_label gform-field-label' >Are you a US Citizen?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_7'>\n\t\t\t<li class='gchoice gchoice_3_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_3_7_0'    \/>\n\t\t\t\t<label for='choice_3_7_0' id='label_3_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_7_1'>\n\t\t\t\t<input name='input_7' type='radio' value='No'  id='choice_3_7_1'    \/>\n\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_54\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_54\" ><label class='gfield_label gform-field-label' for='input_3_54'>Your Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_54' id='input_3_54' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_55\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_55\" ><label class='gfield_label gform-field-label' for='input_3_55'>Your Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_55' id='input_3_55' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_14\" ><label class='gfield_label gform-field-label' for='input_3_14'>Who should we call in an emergency?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_3_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_15\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_15\" ><label class='gfield_label gform-field-label' for='input_3_15'>Relationship to you?<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_3_15' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_56\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_56\" ><label class='gfield_label gform-field-label' for='input_3_56'>Emergency Contact Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_56' id='input_3_56' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_64\" ><label class='gfield_label gform-field-label' >Do you have an active Medical Statement Form signed within 1 year of the trip?<\/label><div class='gfield_description' id='gfield_description_3_64'>Most dive shops, liveaboards, dive destinations, etc, require a medical form. We\u2019re just making sure you have time to get it signed off, if you need to! You can find a copy of this form under our \u201cForms\u201d page.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_64'>\n\t\t\t<li class='gchoice gchoice_3_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='Yes, it&#039;s already on my SSI profile and I&#039;ll have a copy'  id='choice_3_64_0'    \/>\n\t\t\t\t<label for='choice_3_64_0' id='label_3_64_0' class='gform-field-label gform-field-label--type-inline'>Yes, it's already on my SSI profile and I'll have a copy<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='Yes, I have a copy'  id='choice_3_64_1'    \/>\n\t\t\t\t<label for='choice_3_64_1' id='label_3_64_1' class='gform-field-label gform-field-label--type-inline'>Yes, I have a copy<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_64_2'>\n\t\t\t\t<input name='input_64' type='radio' value='No and I understand it will need to be completed BEFORE traveling'  id='choice_3_64_2'    \/>\n\t\t\t\t<label for='choice_3_64_2' id='label_3_64_2' class='gform-field-label gform-field-label--type-inline'>No and I understand it will need to be completed BEFORE traveling<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_19\" ><label class='gfield_label gform-field-label' >Do you have dive insurance active for this trip?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_19'>\n\t\t\t<li class='gchoice gchoice_3_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Divers Alert Network'  id='choice_3_19_0'    \/>\n\t\t\t\t<label for='choice_3_19_0' id='label_3_19_0' class='gform-field-label gform-field-label--type-inline'>Divers Alert Network<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='DiveAssure'  id='choice_3_19_1'    \/>\n\t\t\t\t<label for='choice_3_19_1' id='label_3_19_1' class='gform-field-label gform-field-label--type-inline'>DiveAssure<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='I choose not to use dive insurance'  id='choice_3_19_2'    \/>\n\t\t\t\t<label for='choice_3_19_2' id='label_3_19_2' class='gform-field-label gform-field-label--type-inline'>I choose not to use dive insurance<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_58\" ><label class='gfield_label gform-field-label' >Do you have a Travel Protection Plan for this trip?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_58'>\n\t\t\t<li class='gchoice gchoice_3_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='Yes'  id='choice_3_58_0'    \/>\n\t\t\t\t<label for='choice_3_58_0' id='label_3_58_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='No, but plan to.'  id='choice_3_58_1'    \/>\n\t\t\t\t<label for='choice_3_58_1' id='label_3_58_1' class='gform-field-label gform-field-label--type-inline'>No, but plan to.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_58_2'>\n\t\t\t\t<input name='input_58' type='radio' value='No, and understand that all monies paid for this trip are non-refundable without exception.'  id='choice_3_58_2'    \/>\n\t\t\t\t<label for='choice_3_58_2' id='label_3_58_2' class='gform-field-label gform-field-label--type-inline'>No, and understand that all monies paid for this trip are non-refundable without exception.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_66\" ><label class='gfield_label gform-field-label' >Are you planning on taking specialties during this trip?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_66'>\n\t\t\t<li class='gchoice gchoice_3_66_0'>\n\t\t\t\t<input name='input_66' type='radio' value='Yes, I already have this scheduled with my trip leader'  id='choice_3_66_0'    \/>\n\t\t\t\t<label for='choice_3_66_0' id='label_3_66_0' class='gform-field-label gform-field-label--type-inline'>Yes, I already have this scheduled with my trip leader<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_66_1'>\n\t\t\t\t<input name='input_66' type='radio' value='No, but I\u2019m interested, I\u2019ll reach out to my trip leader'  id='choice_3_66_1'    \/>\n\t\t\t\t<label for='choice_3_66_1' id='label_3_66_1' class='gform-field-label gform-field-label--type-inline'>No, but I\u2019m interested, I\u2019ll reach out to my trip leader<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_66_2'>\n\t\t\t\t<input name='input_66' type='radio' value='No, I don\u2019t want to.'  id='choice_3_66_2'    \/>\n\t\t\t\t<label for='choice_3_66_2' id='label_3_66_2' class='gform-field-label gform-field-label--type-inline'>No, I don\u2019t want to.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_21\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_21\" ><h2 class=\"gsection_title\">Information About Your Diving Experience<\/h2><\/li><li id=\"field_3_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_22\" ><label class='gfield_label gform-field-label' >Are you a certified Open Water diver or will you be certified before this trip?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_22'>\n\t\t\t<li class='gchoice gchoice_3_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='Yes, I&#039;m already certified'  id='choice_3_22_0'    \/>\n\t\t\t\t<label for='choice_3_22_0' id='label_3_22_0' class='gform-field-label gform-field-label--type-inline'>Yes, I'm already certified<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='I&#039;m currently in class and doing certification dives before the trip'  id='choice_3_22_1'    \/>\n\t\t\t\t<label for='choice_3_22_1' id='label_3_22_1' class='gform-field-label gform-field-label--type-inline'>I'm currently in class and doing certification dives before the trip<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_22_2'>\n\t\t\t\t<input name='input_22' type='radio' value='I&#039;m doing certification dives on the trip'  id='choice_3_22_2'    \/>\n\t\t\t\t<label for='choice_3_22_2' id='label_3_22_2' class='gform-field-label gform-field-label--type-inline'>I'm doing certification dives on the trip<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_22_3'>\n\t\t\t\t<input name='input_22' type='radio' value='No, I&#039;m a non-diver'  id='choice_3_22_3'    \/>\n\t\t\t\t<label for='choice_3_22_3' id='label_3_22_3' class='gform-field-label gform-field-label--type-inline'>No, I'm a non-diver<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_62\" ><label class='gfield_label gform-field-label' >Have you dove in the last year?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_62'>\n\t\t\t<li class='gchoice gchoice_3_62_0'>\n\t\t\t\t<input name='input_62' type='radio' value='Yes'  id='choice_3_62_0'    \/>\n\t\t\t\t<label for='choice_3_62_0' id='label_3_62_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_62_1'>\n\t\t\t\t<input name='input_62' type='radio' value='No and I plan on diving before the trip'  id='choice_3_62_1'    \/>\n\t\t\t\t<label for='choice_3_62_1' id='label_3_62_1' class='gform-field-label gform-field-label--type-inline'>No and I plan on diving before the trip<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_62_2'>\n\t\t\t\t<input name='input_62' type='radio' value='No and I DON&#039;T have any plans to dive before the trip'  id='choice_3_62_2'    \/>\n\t\t\t\t<label for='choice_3_62_2' id='label_3_62_2' class='gform-field-label gform-field-label--type-inline'>No and I DON'T have any plans to dive before the trip<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_25\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_25\" ><label class='gfield_label gform-field-label' >How do you rate your diving abilities?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_25'>\n\t\t\t<li class='gchoice gchoice_3_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='I&#039;m a new diver - not much experience'  id='choice_3_25_0'    \/>\n\t\t\t\t<label for='choice_3_25_0' id='label_3_25_0' class='gform-field-label gform-field-label--type-inline'>I'm a new diver - not much experience<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='I&#039;m intermediate - reasonably experienced'  id='choice_3_25_1'    \/>\n\t\t\t\t<label for='choice_3_25_1' id='label_3_25_1' class='gform-field-label gform-field-label--type-inline'>I'm intermediate - reasonably experienced<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_25_2'>\n\t\t\t\t<input name='input_25' type='radio' value='I&#039;m an experienced diver - well over 100 dives'  id='choice_3_25_2'    \/>\n\t\t\t\t<label for='choice_3_25_2' id='label_3_25_2' class='gform-field-label gform-field-label--type-inline'>I'm an experienced diver - well over 100 dives<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_63\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_63\" ><h2 class=\"gsection_title\">Number of Dives<\/h2><div class='gsection_description' id='gfield_description_3_63'>For each question, you can give an estimate<\/div><\/li><li id=\"field_3_23\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_23\" ><label class='gfield_label gform-field-label' for='input_3_23'>How many dives do you have logged?<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_3_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_26\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_26\" ><label class='gfield_label gform-field-label' for='input_3_26'>How many ocean dives have you logged?<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_3_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_27\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_27\" ><label class='gfield_label gform-field-label' for='input_3_27'>How many dives deeper than 100 feet have you logged?<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_3_27' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_28\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_28\" ><label class='gfield_label gform-field-label' for='input_3_28'>How many night dives have you logged?<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_3_28' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_29\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_29\" ><label class='gfield_label gform-field-label' for='input_3_29'>How many drift dives have you logged?<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_3_29' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_30\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_30\" ><label class='gfield_label gform-field-label' for='input_3_30'>How many wreck dives have you logged?<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_3_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_31\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_31\" ><h2 class=\"gsection_title\">Our Trip Policies and Waivers<\/h2><div class='gsection_description' id='gfield_description_3_31'>Please carefully read and then check the box under each paragraph below. And please FULLY UNDERSTAND that, by doing so, you are acknowledging that you understand the information presented and you agree to follow that policy.<\/div><\/li><li id=\"field_3_43\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_43\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Trip Communication<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_43'>Your trip leaders will send out a few emails leading up to the trip. These emails contain important information regarding your trip and often ask for information from you. The trip leaders often need this information to further plan the trip, for example, arranging airport transportation. <\/div><div class='ginput_container ginput_container_consent'><input name='input_43.1' id='input_3_43_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_43\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_43_1' >I agree to read all emails regarding the trip and will respond promptly<\/label><input type='hidden' name='input_43.2' value='I agree to read all emails regarding the trip and will respond promptly' class='gform_hidden' \/><input type='hidden' name='input_43.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_65\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_65\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Deposit and Payment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_65'>This completed application and a deposit are necessary at the time of booking.  Full payment is generally due 45 to 90 days prior to departure.  Bookings made within 60 days of departure are to be PAID IN FULL and may be assessed additional fees if administrative expenses are incurred.  Certain more extensive trips may require a larger deposit ($500 - $1,000) and require following a multiple payment schedule.<\/div><div class='ginput_container ginput_container_consent'><input name='input_65.1' id='input_3_65_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_65\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_65_1' >I agree to this deposit and payment policy<\/label><input type='hidden' name='input_65.2' value='I agree to this deposit and payment policy' class='gform_hidden' \/><input type='hidden' name='input_65.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_48\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_48\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Trip Modification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_48'>Any agent or employee of Gypsy Divers reserves the right to modify the trip program and\/or change the trip price for any reason.  In the event of a price change, the applicant shall have the right to cancel with a full refund.<\/div><div class='ginput_container ginput_container_consent'><input name='input_48.1' id='input_3_48_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_48\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_48_1' >I agree to this trip modification policy.<\/label><input type='hidden' name='input_48.2' value='I agree to this trip modification policy.' class='gform_hidden' \/><input type='hidden' name='input_48.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_50\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_50\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Waiver of Liability<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_50'>The applicant, or the undersigned parents\/guardians of an applicant under the age of maturity, releases and absolves The Elite Gypsy Corporation, DBA Gypsy Divers, William Harloff III, and any and all agents and employees of Gypsy Divers from any and all liability for property loss or damage, and\/or from any and all damages resulting from death or personal injuries, including loss of services arising out of, or in conjunction with applicant\u2019s chosen travel program, whether resulting from negligence of anyone in charge of or participating in said program or from ownership, maintenance, use, operation or control of any automobile, ship, airplane, bicycle, boat, vehicle, inn, hotel, common carrier, or otherwise.<\/div><div class='ginput_container ginput_container_consent'><input name='input_50.1' id='input_3_50_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_50\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_50_1' >I understand and agree to this waiver of liability<\/label><input type='hidden' name='input_50.2' value='I understand and agree to this waiver of liability' class='gform_hidden' \/><input type='hidden' name='input_50.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_49\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_49\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Limits of Responsibility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_49'>It is understood that the agents and employees of Gypsy Divers are independent of, and have no business association, partnership, joint venture, ownership or otherwise, with any resort, hotel, carrier, boat operator, or other person or firm furnishing any service or facility in connection with the subject travel program.  <br \/>\nIt is expressly understood and agreed that any agent or employee of Gypsy Divers assumes no responsibility or liability for service, transportation, or equipment made available by any resort, hotel, or other person or entity, either as to its availability or as to its safety, quality, or condition, nor for the acts of any employee or agent of such establishment, firm, or entity.<br \/>\nIt is also understood and agreed that any agent or employee of Gypsy Divers does not, by acceptance of this applicant, assume any responsibility or liability for the safety of any participating individual, particularly when such individual is engaged in underwater activities, whether alone or in groups, under the supervision of tour escort, or otherwise.<br \/>\nIt is expressly understood that Gypsy Divers, its agents, and employees, cannot verify either the ability or suitability to scuba dive of each trip participant and therefore cannot guarantee that the participant will be allowed to dive by the dive operator.  If the diving proficiency of the participant is not acceptable, a refund for the diving portion of the trip is totally at the discretion of the dive operator. Gypsy Divers will return to the trip participant any refund offered by the dive operator, less any reasonable charges or expenses incurred in securing that refund.<br \/>\nIt is expressly understood that the tour escort of the trip is acting only in the capacity of a tour escort.  Although the escort may or may not be a certified scuba instructor, and will give freely of his\/her diving knowledge and experience, the escort is not acting in the capacity of instructor unless specifically noted by a separate agreement.<br \/>\nIt is expressly understood that, due to the possible remoteness of the destination, access to adequate first responder treatment, immediate medical care, and appropriate hyperbaric care facilities (recompression chambers) may be extremely limited if not totally unavailable without considerable transport. For this reason, we VERY STRONGLY advise all trip participants to be insured through the Divers Alert Network or DiveAssure.<\/div><div class='ginput_container ginput_container_consent'><input name='input_49.1' id='input_3_49_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_49\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_49_1' >I understand and agree to this limits of responsibility policy.<\/label><input type='hidden' name='input_49.2' value='I understand and agree to this limits of responsibility policy.' class='gform_hidden' \/><input type='hidden' name='input_49.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_51\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_51\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Substitutions, Modifications, Changes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_51'>It is further understood and agreed that the remoteness of the area, new local government regulation, customs, prevailing weather conditions, or any other factors may cause substitution of facilities and\/or equipment, minor inconvenience, or modification of the travel itinerary.  All agents and employees of Gypsy Divers reserve the right to modify and\/or cancel diving arrangements due to unfavorable weather conditions or any other reason that may affect the safety of the group, and to substitute facilities and equipment if necessary.  No refunds can be made for arrangements canceled due to adverse weather, mechanical failure, or for substitution of facilities and\/or equipment, or for minor inconvenience.  Unused portions of trips are non-refundable.<\/div><div class='ginput_container ginput_container_consent'><input name='input_51.1' id='input_3_51_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_51\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_51_1' >I agree to this policy on substitutions, modifications, and changes<\/label><input type='hidden' name='input_51.2' value='I agree to this policy on substitutions, modifications, and changes' class='gform_hidden' \/><input type='hidden' name='input_51.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_47\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_3_47\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Our VERY UGLY Cancellation Policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_47'>When a space on a tour is sold, it is removed from our tour inventory and no further attempts are made to sell that space.  Some destinations require a certain group size to guarantee special services and rates.  For this reason, all trip deposits are completely non-refundable.  Once the final payment is made, it too becomes 100% non-refundable, whether or not the trip eventually sells out. If you cancel at any point, your money is forfeit, period. NO exceptions. We strongly advise our travelers to obtain trip interruption\/cancellation protection programs in the event of a forced or unforeseen trip cancellation.<\/div><div class='ginput_container ginput_container_consent'><input name='input_47.1' id='input_3_47_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_47\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_47_1' >I agree to this VERY UGLY CANCELLATION POLICY.<\/label><input type='hidden' name='input_47.2' value='I agree to this VERY UGLY CANCELLATION POLICY.' class='gform_hidden' \/><input type='hidden' name='input_47.3' value='10' class='gform_hidden' \/><\/div><\/li><li id=\"field_3_52\" class=\"gfield gfield--type-signature gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_52\" ><label class='gfield_label 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