The SHACs Open Water Swimming - Membership Application 2020
In order to swim at The SHACs Open Water Swimming Sessions this Form must be completed. You may also be asked to complete a open water competency/swimming ability review at your first session at the discretion of the management team. If you havent done any open water swimming before please complete our introduction to open water swimming course that runs every other Sunday from the 7th April.
Email address *
Full Name
Age
Address
Contact Telephone Number
Swimming Ability - Please tick as applicable *
Required
Confidence , Please rate the following two questions on a scale of 1-10 and provide comments. 1=Strongly agree, 4=Agree, 7=disagree, 10=strongly disagree. Question 1: I have a basic fear of water and feel nervous when swimming, please detail reasons if known.
Question 2: I have never swam in open water before
Health. I have pre existing health problems or injuries that may effect my ability ti participate safely and successfully in an open water swimming course. *
If you answered yes to the above question please provide details in full below
Have you ever been on an open water swimming course before?
Clear selection
If yes to the above question what was the course you attended?
I would like to attend an introduction open water swimming course with The SHAC.
Clear selection
I would like to attend an open water swimming Masters Course with The SHAC
Clear selection
What open water swimming experience do you have if any? Events, Swims etc please list below
Emergency contact details: Full Name, Relationship, Contact Number *
Personal Goals from open water swimming:
I own my own wet-suit *
Please confirm you are happy to hear from us regarding events, equipment and other activities. *
Disclaimer: The Surrey Hills Adventure Company accepts no responsibility whatsoever for any injury or illness sustained or suffered by any person or persons so engaging in any activities offered by ourselves. We also accept no responsibility for any loss or damage to personal belongings however caused, whether due to negligence of ourselves or arising from the use of activities made available. I further understand that any swim sessions can be cancelled, sometimes at short notice in order to maintain the safety of all swimmers and at the Discretion of The SHACs Management team. *
Required
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