SWIM BOOKING FORM BEFORE YOU COMPLETE THIS FORM MAKE SURE YOU DO THE FOLLOWING STEPS:- 1. ARRIVE 30 MINS BEFORE YOUR SWIM TIME TO PARK UP, PAY, OBTAIN RENTAL WETSUIT OR FLOAT & CHANGE 2. READ TIP #2 ABOVE FOR RENTAL PRICES & ARRANGEMENTS 3. REFRESH THE SWIM OPENING DATES & TIMES CHART ABOVE 4. DO NOT BOOK DATS OR TIMES WHEN THE LAKE IS CLOSED 5. ENTER THE CORRECT DATE 6. ENTER THE CORRECT START TIME (& END TIME IF YOU WANT TO SWIM LONGER THAN 1 HOUR 7. PAY ON ARRIVAL AND OBTAIN YOUR CARDHOLDER RECEIPT 1. Required Payment Amount. If you have bought a 10-swim pass enter £30 or £60. If you are paying on arrival enter POA. ---£30£60POA 2. Required Receipt Code. If you have bought a 10-swim pass enter your 4 or 5 digit receipt code. If you are paying on arrival enter POA. 3. Required First Name 4. Required Last Name 5. Required Only for under 15's. Leave blank if older. Date of Birth. In DD/MM/YYYY format. 6. Required If available in the above chart, select the date of your swim session. ---20/03/202223/03/202225/03/202226/03/202227/03/202230/03/202201/04/202202/04/202203/04/202206/04/202208/04/202209/04/202210/04/202213/04/202215/04/202216/04/202217/04/202220/04/202222/04/202223/04/202224/04/202227/04/202229/04/202230/04/202201/05/2022 7. Required. If available in the above chart, select the start time of your swim session, excluding 30 mins before the session for rental payment & collection, Covid briefing, & kit-up. ---08:0009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:00 8. Required. If available in the above chart, select the end time of your swim session, excluding 30 mins after the session for dekit, rental return & refreshments. ---09:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:00 9. Required Email 10. Required Mobile Phone 11. Optional Wetsuit or Float Rental Paid On Arrival At Reception. For Wetsuit Rental enter swimmer's Height + Chest/Dress size + Child Age. For Float Rental enter Float. Leave blank if no rental needed. Participant Agreement Read the following paragraphs carefully. This statement, which includes a Statement of Risks and Liability, and a Warning Statement, informs you of some potential risks involved in outdoor swimming, and of the conduct required of you while outdoor swimming at Dosthill Quarry. If you are aged 17 or younger, your parent or guardian must read this and sign below. Statement of Risk and Liability This is a statement in which you are informed of the risks of outdoor swimming at Dosthill Quarry. The statement also sets out the circumstances in which you participate at your own risk. Your online submission of this statement is your digital confirmation that you have received and read this statement, so it is important that you read the contents of this statement before submitting or signing it. If you are a minor aged 17 or younger, this form must also be signed by a parent or guardian. Warning There can be a serious risk to your health if you contract coronavirus. You can suffer from acute respiratory distress syndrome (ARDS); mental health issues like post-traumatic stress disorder (PTSD), anxiety, and depression; impaired lung function infection which can negatively affect other organs like the heart, kidneys, and brain; other significant long-term health issues that may last after getting over the infection. Acceptance of Risk I understand and agree that neither the Dosthill Quarry Staff (“Staff”), nor the facility Dosthill Quarry, nor their affiliate or subsidiary corporations, nor any of their respective employees, officers, agents, contractors or assigns accept any responsibility for any death, injury or other loss suffered by me to the extent that it results from my own conduct or any matter or condition under my control that amounts to my own contributory negligence. In the absence of any negligence or other breach of duty by the Dosthill Quarry Staff (“Staff”), nor the facility Dosthill Quarry, and all parties referred to above, my participation is entirely at my own risk. I HAVE REGISTERED VIA THE LINK AT TIP #1. I HAVE READ THE SWIM BRIEFING POINTS AT TIP #2. I HAVE READ THE CONTENTS OF THE ABOVE PARTICIPANT AGREEMENT, STATEMENT OF RISK AND LIABILITY, WARNING, AND ACCEPTANCE OF RISK. I HEREBY TICK THE BOX BELOW AS MY DIGITAL AGREEMENT. Under 18? Your parent or guardian must enter their name and relationship below, and also tick the agreement box for you under Required below Applicable? Parent or Guardian Name. Applicable? Parent or Guardian Relationship. ---FatherMotherGuardian 18 or Older Required I am 18 or older, and I hereby tick the box below as my digital agreement PLEASE READ THE 3 IMPORTANT STEPS BELOW TO AVOID MULTIPLE ENTRIES OF YOUR BOOKING FORM!! If you have completed all the required fields, and ticked the digital agreement box above, then you should receive a message below the send button, "Your Outdoor Swimming Reservation was sent successfully to firstname.lastname@example.org". 1. HOWEVER YOUR AREA MAY BE EXPERIENCING SLOW INTERNET. SO IF YOU RECEIVE THE ERROR MESSAGE "There was an error trying to send your message", OR THE LOADING CIRCLE TO THE RIGHT OF THE SEND BUTTON KEEPS SPINNING, YOU MAY HAVE MISSED A FIELD OR THE INTERNET IS SLOW. 2. CHECK YOUR INBOX AND SPAM/JUNK FOLDERS TO SEE IF YOU HAVE AN AUTO REPLY CONFIRMATION OF A SUCCESSFUL BOOKING. IF NOT CHECK ALL FIELDS HAVE BEEN COMPLETED AND HIT SEND AGAIN ONCE. 3. IF YOU DON'T GET A SENT SUCCESSFULLY MESSAGE AFTER 2 ATTEMPTS CALL 01733 351288, AND WE'LL CHECK IF YOUR FORM HAS BEEN RECEIVED. Now hit the 'Send' button below and check your inbox and spam folder for our auto reply email.