Name
*
First Name
Last Name
Gender
*
Name of Parent/Guardian (Required if swimmer is under 18)
First Name
Last Name
Contact number for parent / guardian (required if swimmer is under 18)
Address 1
*
Town
*
County / State
*
Post Code / ZIP code
*
Country
*
Email
*
Contact number
*
Passed medical?
Have you already passed your medical this season?
It is advised to complete your medical before your first training session with us.
Medical info
*
Please note that neither the volunteers comprised within, nor anyone else associated with, the Dover Channel Training Group are medically trained and therefore have no ability to offer any medical advice or assistance whatsoever. Disclosure of medical information is requested by the Dover Channel Training Group solely for the purposes of: (a) encouraging you to assess before conducting any training whether you have received appropriate medical assessment and advice; and, (b) to have the option (but not the obligation) to pass on this and other disclosed information to the appropriate authorities, emergency or medical services or others who train, assist or spectate with the Dover.
Details of any medical conditions or injuries of you or your child that that you want to be known by the Dover Channel Training Group and may impact on training whilst receiving support from the Dover Channel Training Group (please enter 'None' if applicable):
Emergency contact name
*
First Name
Last Name
Emergency contact phone number
*
Swim category
*
If you're not training for anything in particular, choose the option that closet matches the training you'll do.
Swim details
Swim Date (main swim)
Please give the date (or first date of the tide) of the main swim that you are training for.
MM
DD
YYYY
Pilot
Comments
Terms of Participation
*
You understand that whilst and enjoyable and worthwhile sport, swimming in open water can be dangerous, can result in injury or death and should only ever be undertaken after you have first satisfied yourself that you/the Swimmer are medically fit to undertake all training that you/the Swimmer will or might undertake and that you/the Swimmer are doing so in a safe area and in appropriately safe conditions (“Your Checks”). By participating in any training with the Dover Channel Training the Swimmer is representing that the Swimmer/you as the parent/guardian for the Swimmer, have first conducted Your Checks.
Dover Harbour is recognised as an appropriate location for swimming, particularly those training for marathon swims like the English Channel. Dover Harbour Board has designated by coloured buoys a significant area along the shoreline giving priority to the public for the purpose of swimming - see www.doverport.co.uk for details of the designated area and its supervision/regulation. Any question or concern you may have about swimming activities in this area should be addressed to Port of Dover and by signing this Declaration you the undersigned (and, where the Swimmer is under 18, on behalf of the Swimmer also) unequivocally accept that it is your express responsibility to properly familiarise yourself with, and to remain within, the areas which the Port of Dover has designated as being safe for the time and duration that you propose to swim on each and every occasion. Whilst the Dover Other training locations used from time to time have also been assessed as suitable for training. Dover Channel Training Group does its best to relay its current understanding as to such areas, that information is conveyed without any liability to do so and on the express basis that you will always independently satisfy yourself as to where and when it is safe to swim.
The Dover Channel Training Group does not form part of a coaching service for swimmers and comprises and is led by volunteers without formal medical or health and safety qualification or training, who offer support or guidance on a personal and informal basis without obligation to do so or responsibility for doing so to a standard of care, or to any standard at all. You/the Swimmer understand that you/the Swimmer are/is free to disregard any support, assistance or guidance at any stage and that to accept or rely upon any support, assistance or guidance is undertaken solely at your/the Swimmer’s own risk. No safety cover is provided by the Dover Channel Training Group for any swimmers and the Dover Channel Training Group does not obtain and maintain any insurance for any risks for the benefit of swimmers or beach-goers. You/the Swimmer are strongly advised to ensure that your own safety cover and appropriate insurance is obtained before undertaking any swimming or other training with the Dover Channel Training Group.
Declaration
*
I declare that I understand and accept for myself as the Swimmer or (if my child is the Swimmer) for myself and my child named above, that:
1. The Swimmer has a settled intention to conduct open water swimming training regardless of any advice, encouragement or arrangements that might be provided by the Dover Channel Training Group.
2. I understand and accept that any information, guidance and/or assistance which is offered by the Dover Channel Training Group in relation to:
a) the operation, participation within or conducting of any training activity associated in any way with the Dover Channel Training Group,
b) the risk to health or safety of swimmers and any other persons,
c) the security or condition of any belongings, or
d) any other matter or for any other purpose or reason connected with the swimming plans of swimmers or activities associated with the Dover Channel Training Group
is provided freely without commitment and without obligation to provide the same whether pursuant to a duty of care or to any standard or at all, and further I understand that is relied upon/accepted by me/the Swimmer at my/the Swimmer’s sole discretion and entirely at my/the Swimmer’s own risk;
3. it is solely incumbent on me to continually assess and appropriately respond to the ongoing risks to the health or safety of me/the Swimmer during and after all swimming or other training at Dover Harbour and at all times to act responsibly when open water swimming with the Dover Channel Training Group
4. any personal data (other than medical data, which will be used as stated above) supplied by me to the Dover Channel Training Group, may be retained and used freely by the Dover Channel Training Group to assist them with the provision of marathon swimming information, guidance and assistance to me or (if appropriate) me and my child.
5. I have carefully assessed the competence and responsibility of myself/the Swimmer and deem it sufficient for the purpose of carrying out training of the type and duration that might be carried out with the Dover Channel Training Group without requiring any assistance or monitoring from the Dover Channel Training Group.
6. I have read, understand and agree with the Terms of Participation as set out above.
Confirmation
*
Social Media
*
