Liability Waiver - Private hire sessions
Please fill in the details below
How many sessions have you booked?
1
2
3
4
Are the same people attending all sessions?
Yes
No
Date of private hire booking
*
-
Day
-
Month
Year
Date
Start time
*
Hour Minutes
AM
PM
AM/PM Option
Finish time
*
Hour Minutes
AM
PM
AM/PM Option
How many attending?
1
2
3
4
5
6
Name of lead adult
*
First Name
Last Name
As the lead adult, I am over 18 and I take full responsibility for my group, and will make all members of my group aware of the rules.
*
I agree
I am
*
Swimming
Spectating
If there are different people attending each session, please fill in a seperate form for each visit.
Name of attendee 2
*
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 3
First Name
Last Name
please confirm age
Over 18
Under 18
attendee is
Swimming
Spectating
Name of attendee 4
First Name
Last Name
please confirm age
Over 18
Under 18
attendee is
Swimming
Spectating
Name of attendee 5
First Name
Last Name
please confirm age
Over 18
Under 18
attendee is
Swimming
Spectating
Name of attendee 6
First Name
Last Name
please confirm age
Over 18
Under 18
attendee is
Swimming
Spectating
Date of family swim as stated on your introduction pack (2)
*
-
Day
-
Month
Year
Date
Start
*
Hour Minutes
AM
PM
AM/PM Option
Finish
*
Hour Minutes
AM
PM
AM/PM Option
Name of attendee 2
*
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 3
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 4
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 5
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 6
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Date of family swim as stated on your introduction pack (3)
*
-
Day
-
Month
Year
Date
Start
*
Hour Minutes
AM
PM
AM/PM Option
Finish
*
Hour Minutes
AM
PM
AM/PM Option
Name of attendee 2
*
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 3
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 4
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 5
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 6
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Date of family swim as stated on your introduction pack (4)
*
-
Day
-
Month
Year
Date
Start
*
Hour Minutes
AM
PM
AM/PM Option
Finish
*
Hour Minutes
AM
PM
AM/PM Option
Name of attendee 2
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 3
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 4
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 5
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Name of attendee 6
First Name
Last Name
please confirm age
*
Over 18
Under 18
attendee is
*
Swimming
Spectating
Email
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
County
Post code
I will ask my group to remove shoes on entry and only put them back on when you are about to leave. No shoes must be worn inside the pool area or changing rooms
*
Yes
No
I am aware of the pool depth
*
Yes
No
I am aware there is cctv in operation and it will be referred to in the event of an incident/breakage or timing query
*
Yes
No
I agree that I will arrive no more than 5 minutes early, and will not enter the water until my chosen start time as stated on the introduction pack
*
Agree
I agree to pay all penalty charges as stated in the "Penalty charge" section on the introduction pack.
*
Agree
I am aware that the office is closed from 4.00pm Friday, weekends and bank holidays. Therefore any last minute changes to bookings will not be accepted
*
Yes
I have read and agree to the section regarding "Cancelling a session".
*
Yes
I will not use any of the Aweswim equipment including floats, woggles or pc (excluding first aid equipment).
*
Agree
I am aware that if I leave the premises unlocked (a private hire doesn't enter before you leave), no further bookings will be accepted.
*
Agree
This agreement releases Aweswim Ltd/Perdi Parris from all liability relating to injuries and damage or loss of property that may occur during my family swim session, as stated in my family swim introduction pack, at Aweswim Ltd Swimming Pool located at Heath Cottage, Thriplow Heath, Thriplow, Royston, SG8 7RS. By signing this agreement, I/we agree to hold Aweswim Ltd/Perdi Parris entirely free from any liability, including financial responsibility for injuries and damage or loss of property incurred, regardless of whether injuries and damage or loss of property are caused by negligence.I also acknowledge the risks involved in swimming, and any associated activity, without a lifeguard present. These include but are not limited to slipping, falling, tripping, jumping in, breakage, loss, drowning and death. I/we confirm that I/we are participating voluntarily, and that all risks have been made clear to me/us. Additionally, I/we do not have any conditions that will increase my/our likelihood of experiencing injuries and damage or loss of property, while engaging in the activity and any associated activity.By signing below, I/we forfeit all right to bring any subsequent action or claim against Aweswim Ltd/Perdi Parris for any reason. In return, I/we will receive exclusive use of the swimming pool at Heath Cottage for the time as stated on my family swim introduction pack. I/we will also make every effort to obey safety precautions as listed in writing and as explained to me/us verbally. I/we will ask for clarification when needed. Signed
*
Date
-
Day
-
Month
Year
Date
I would like to be included in emails from Aweswim regarding news/family swim dates/lesson changes etc
*
Yes please
No thank you
Submit
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