Declaration and indemnity form

This indemnity clause is to cover all open water swimming activity organised by Open Water Swim UK with Liquid Leisure at Datchet, for the open water season. By signing this agreement the swimmer also agrees to conform to any reasonable changes to the schedule that may occur due to unforeseen difficulties.

For Health and Safety reasons the swimmer also agrees to "sign in and out" of the water.

Name
Address
Occupation
Sex: M F	Date of birth:
Contact Telephone
Email address
Emergency Contact Name and telephone
Sports background

Indemnity Clause

I acknowledge, to the best of my ability, that I am in good health and have no known medical problems that would restrict my ability to participate in open water swimming.I recognise that participation in physical activity involves the risk of injury, to my person or my property. I acknowledge that whilst I participate, I do so entirely at my own risk.

I will not hold Open Water Swim UK or Liquid Leisure, their instructors, members, servants or agents liable for any personal injury, loss of property which I may suffer whether caused by the negligence or omission of any of the above.

Signed:

Date:

To assist us on your first day please print out this waiver, complete it and hand it in to a member of staff on your arrival.