Winter Swimming Request

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This form is for individuals requesting an exemption to swim without a wetsuit in water temperatures below 12°C at Hangloose Bluewater. Kindly respond to these questions as truthfully as you can.

Name *

Email address *

Do you have any heart conditions? *

Yes

If Yes, please give as much detail as possible

Do you have high blood pressure? *

Yes

Do you have asthma? *

Yes

Are you pregnant? *

Yes

Do you have or have ever had Raynaud's? *

Yes

Do you have cerebral Palsy? *

Yes

Are you a member or a regular swimmer at Hangloose Adventure? *

Yes

Do you have experience swimming in water temperatures below 12°C without a wetsuite? *

Yes

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