Open Water Swimming Registration

Full name

Address

Contact number

Emergency contact details

Details of any medical conditions

Date of birth

Date and Time of Session Booked

Please read the following statements and sign at the bottom to indicate that you agree with the following:

I understand that if I choose not to wear a wetsuit, I increase my risk of experiencing cold water shock.
I am medically fit and able to undertake open water swimming.
I will not swim if I am feeling unwell, or if I become unwell during the session, I will immediately inform the instructor or safety staff.
In the event I get into difficulty I will roll onto my back and signal for rescue by waving one arm in the air.
I agree to take full responsibility for my possessions whilst swimming.
I will sign in before entering the water and sign out at the end of the session, once I am changed and warm.
In the event of a thunder storm, failing light, fog or high winds, the instructor may decide to end a session. If I am asked to leave the water, I will do immediately – for my own safety.
I acknowledge that open water is a natural environment. The water’s edge may be slippery, there may be sharp stones underfoot, there are various ramps, ropes, buoys and other water users that must be avoided.
If I do not feel comfortable with these hazards, I should not swim in this open water environment.
I acknowledge that there are no changing facilities on the lochside/beach.
North Coast Wet and Wild will treat information about me confidentially.

All children under 16 must be accompanied by an adult who needs to stay close to the shore/water’s edge for the duration of the session and help their child/ren with changing before and after the session, as required.
Covid 19 – I can confirm that neither I or my household have or have had (in the last two weeks) symptoms of the Corona Virus.

Please indicate your preference

I DO NOT give consent for photos and video clips of my session to be used on the North Coast Wet n Wild website and or social media sites.

I DO give consent for photos and video clips of my session to be used on the North Coast Wet n Wild website and or social media sites.

Sport interests

I cannot swim front crawl, only breaststroke

I can swim 200m front crawl slowly

I am competent swimmer and can swim 200m sub 6 mins in a pool

I have never swam in open water before

I have fears and concerns about open water swimming (please tell us more about these below so that we can support your open water journey and alleviate your fears)

We do have a limited supply of 5mm wetsuits for hire at a cost of £5 for your session. If you would like one, please let us know what size you need here:

Initials

Todays date

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Our BACS details are -

North Coast Wet n Wild Ltd at

Starling Bank - Account Number 78592349
Sort Code 60-83-71

IBAN - GB15SRLG60837178592349

SWIFT/BIC - SRLGGB2L