Please complete the sections below. I may contact you to discuss your response.
If you have any questions please email thecoldwatertherapist@gmail.com
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.
If you are booking on behalf of a group, each participant will need to complete this form. The link to forward to your group members is: Medical & Risk Questionnaire
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 swimming ability. 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 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.
Response received, Thank you!
