Loop to Swim 12k

This form is submitted for to collect information we can use to contact people at home who can help you in case you have a medical emergency or personal need during our event. All data for enrolment will be kept as confidential.

I, the undersigned participant, understand that swimming involves all sorts of risks, even the possibility of disability and death. I agree to assume responsibility for these risks I am exposing myself to at this event. I hereby certify that I am physically fit to participate in this swimming event and have not been informed otherwise by a physician. As a condition for my participation in this Runtoswim (R2S) swimming event and any activities associated with it, I agree to take ultimate responsibility for decisions that concern my safety and well-being, whether I decide to follow or go against the advice or instructions of Runtoswim (R2S), its officers, agents or employees, host facilities, or any individuals supervising the swimming event. I am expected to take responsibility for deciding if I will participate in any activity and in what ways I will participate. I agree to take full responsibility for my own well-being as I consider the advice and instructions given to me. I hereby waive any and all rights to claims for losses or damages including, but not limited to, all claims for injury, loss or damages caused by the negligence, active or passive, of the following: Runtoswim Inc. officers, agents or employees. I understand that Runtoswim Inc. has only given certification to the swimming instructors for the purpose of teaching swimmers and is not responsible for the production of this event, nor responsible for my safety or well-being at this event in any way. Additionally, I acknowledge that this event is intended to train me as a swimmer. The instruction I receive here does not make me qualified or certified to teach R2S to others, nor declare myself an R2S Instructor. By typing my name and submitting this form I am agreeing to these terms.