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SwimQuest River Swims Booking Form
Yes please, sign me up!
Name
full name
Email
a valid address
Number
please provide a mobile if possible
Date of birth
Address
(home address)
Chosen swim/s
Please select
Saturday 13th July
Sunday 14th July
Saturday 17th August
Saturday 28th September
Sunday 29th September
Swimming time for 1km
a rough idea, if you can
Select One
Less than 20 minutes
20-25 minutes
26-30 minutes
31-35 minutes
36-40 minutes
41-45 minutes
45 minutes+
I'm not sure!
Swimming experience
e.g. are you training for anything?
Do you have a pre-existing medical condition?
Please give details
Please add any comments which may be relevant to your booking
Where did you hear about us?
e.g. Google, H2Open, referral from a friend ...
Our monthly newsletter
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Please confirm you have read our terms and conditions
see link below
I confirm I have read the terms and conditions
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