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Search for:
HOME
SERVICES
OPEN WATER COACHING
POOL COACHING
SWIM EVENTS
CALENDAR
BOOK ONLINE
NEW
SHOP
ABOUT ME
BLOG
NEWS
FORMS
CONTACT/FAQ
CONTACT ME
FAQ’s
HOME
SERVICES
OPEN WATER COACHING
POOL COACHING
SWIM EVENTS
CALENDAR
BOOK ONLINE
NEW
SHOP
ABOUT ME
BLOG
NEWS
FORMS
CONTACT/FAQ
CONTACT ME
FAQ’s
Adult Open Water
PRE COURSE FORM
Adult Open Water Pre Course Form
Sheriden Booth
2021-08-03T19:45:54+00:00
ADULT OPEN WATER PRE-COURSE FORM
Your Name
*
Email address
*
Date of Birth
*
Mob No.
*
Emergency Contact Name
*
Emergency Telephone Number
*
What course are you attending? Enter N/A if not booked.
*
Swimming ability
I cannot swim
I can swim limited head up breaststroke
I can swim confident breaststroke
I can swim limited frontcrawl
I can swim good frontcrawl
Feelings
I have a basic fear of the open water
I am nervous about open water swimming
I love swimming in open water
I am a FISH!
What are your goals and aspirations? What would you like to achieve? What would you like to learn?
Health - Do you have any pre-existing health problems that may affect your ability to participate safely? Please provide information if so.
Do you have any allergies or are you taking any medication that may be relevant to this activity?
Additional Comments
By ticking below, I am certifying that all information provided is correct and that I agree to the Terms & Conditions: I confirm that I understand the dangers associated with open water swimming, including the potential for personal injury, death and loss or damage of property, and agree to swim at my own risk and waive liability and all rights of action against Fish 2 Water, Dee Harmer and volunteers in any such event arising whilst, or consequent to, open water swimming. Nor will the aforementioned parties be liable for any actions of any spectators or other third parties.
I agree
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