Email address *

Your Name *

Date of Birth *

Address *

Mob No. *

Emergency Contact Name *

Emergency Telephone Number *

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 maximum 200m frontcrawl

I can swim maximum 500m frontcrawl

I can swim 200m in 6 minutes

I can swim 200m in under 3 minutes

Open Water Experience

I have never swum in open water

I have done a little bit of open water swimming/ dipping

I have done lots of open water swimming

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!

Aspirations

I just want to enjoy the open water and be safe

I would like to swim in open water to keep fit

I would like to become a strong frontcrawl swimmer

I would like to participate in relaxed open water swim events

I would like to participate in open water races

I am an athlete and I would like to improve my technique, efficiency and stamina

What would you like to achieve?

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 stated here: https://docs.google.com/document/d/1znLoP4t72QxvTgVsaWY-gfd4eVzOqpzCsL2_6Xbgnrk/edit?usp=sharing 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

ADULT OPEN WATER PRE-COURSE FORM

CONTACT US

COURSES

FORMS

EVENTS

Upcoming Events

EASTBOURNE OPEN WATER SWIMMERS

MENTAL HEALTH SWIMS

FULL MOON SWIM