SwimQuest River Swims Booking Form 

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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

Swimming time for 1km

a rough idea, if you can

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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