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WELCOME

Hi, welcome! I'm Jenny, The Cold Water Therapist and you can read about my own life changing journey to cold water here.

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I hope you have already found and read all of the information on our Into the Blue, Cold Therapy Collective funded project for carers in Midlothian. If not, please click the button below and have a read through, then return to this form if you'd like to join us.

Please do have a wonder around the website and a browse of what we do. Once you have completed the Cold Water Safety Induction and joined the Into the Blue programme, you will be invited to join our community, the Cold Therapy Collective, to continue with your journeys and meet more like-minded people.

To formally apply to join the project, please complete and submit the form below. 

Your suitability in regards to safety will be assessed and an email will be sent within 48 hours.

Thank you!

Medical & Risk Questionnaire

Please complete the sections below. I may contact you to discuss your response.

If you have any questions please email thecoldwatertherapist@gmail.com

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You will not be allowed to participate in an activity without this document being completed.

**It is strongly recommended that you have a medical check up before starting cold water therapy**

 

Outdoor swimming is a risky activity, and you must adhere to all safety guidance. The Cold Water Therapist cannot be responsible for your wellbeing and safety specifically if you do not adhere to advice or instructions, nor disclose information that would affect your safety and ability to participate. To assist with this, all participants agree to partake in events at their own risk and no responsibility shall be attached to the organisers, collaborators or any person involved in the organisation and its activities,

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RISK IDENTIFICATION AND ACCEPTANCE

By signing this form, you understand and acknowledge the risks listed below and are happy to assume full responsibility for all risks involved in the swim:

Risks Include:

* Injury from collision with submerged or visible objects in the water

* Injury from wildlife in or around the area

* Injury when entering or exiting the water

* Injuries sustained while swimming in high-risk areas such as in waterfall pools, rivers and the sea

* Injury or accident occurring on route to venue, by foot or by vehicle

* Injury or accident occurring from any other event including but not limited to fire-pit activities, ice dipping, consumption of foods

* Sickness or disease from polluted water

* Hypothermia

* Drowning

* Initial increase in heart rate and blood pressure upon entering cold water

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Full risk assessments are carried out and all possible reasonable adjustments are made to minimise risks.

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You will be educated further on the risks and safety practices of cold water therapy during your online induction.

Can you swim?
Are you currently experiencing any medical condition (including pregnancy), illness, injury or taking medication?
Do you have any mobility constraints?
Do you have any additional support needs?
At this stage, which sessions do you plan to join? Required

Response received, Thank you!

If you see this message your response has been submitted and the form will now clear.

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