Gildenburgh Swim Bookings

SWIM BOOKING FORM

The safety procedure for the lake is based on each swimmer being able to float motionless on the water without sinking. This is achieved by one of two methods.

#1. The swimmer wears a wetsuit which provides substantial buoyancy as well as keeping them warm
OR
#2. The swimmer wears a swim costume, & tows a personal float behind them.
In the event the swimmer gets cramp in their legs they will be able to float on the surface with the wetsuit's buoyancy, or hold the float to their chest until the safety boat reaches them.
By booking this swim. you agree to undertake this simple flotation check yourself by floating on your back without kicking, or sculling with your hands, when you arrive for your first swim OR if you change your flotation device.
If you don't have a wetsuit or a float you can rent a wetsuit @£8 or a float @£2 in field #11 of the booking form below.

BEFORE YOU COMPLETE THIS FORM MAKE SURE YOU DO THESE ESSENTIAL STEPS:-

1. REVIEW THE "Top 10 tips for staying safe in Gildenburgh Water Lake" AT THE TOP OF THIS FORM
2. REFRESH THE SWIM DATES & HOURS OPEN CHART ABOVE SO YOU SEE CURRENT AVAILABLE SESSIONS
3. DO NOT BOOK TIMES WITH ZERO AVAILABILITY OR TIMES WHEN THE LAKE IS CLOSED
4. SELECT THE CORRECT DATE
5. SELECT THE CORRECT START & END TIMES FOR YOUR SWIM
6. DON'T DUPLICATE YOUR FORM
7. KEEP A RECORD OF YOUR SWIM PASS DATES & DON'T OVERBOOK
8. CHECK IN AT RECEPTION ON ARRIVAL AT THE SITE

Required Medical Declaration Select NO or YES. Do you have any current medical conditions that might be inconsistent with outdoor swimming? —Please choose an option—NOYES
Required Top 10 Tips Declaration for staying safe in Gildenburgh Water Lake. Have you reviewed this safety briefing at the top of this form? —Please choose an option—NOYES
Required Select your Payment Option On Arrival At Reception. For a single swim or 10-swim pass. —Please choose an option—£3.50 Single Swim Under 15 & Dogs on a leash£7 Single Swim Over 14 & Adults£30 Swim Pass Under 15 & Dogs on a leash£60 Swim Pass Over 14 & AdultsPOAPOA First GW Swim
2. Required Receipt Code. If you have bought a 10-swim pass enter your 4 digit receipt code IN THE FORMAT G**** from Gildenburgh Water OR D**** OR C*** if purchased from our Midlands lake, Dosthill Quarry.IF THE CODE IS NOT ENTERED IN THIS FORMAT THE BOOKING FORM WILL BE REJECTED EVEN IF THE "SUCCESSFULLY SENT" MESSAGE APPEARS UNDER THE SEND BUTTON.
Required First Name
Required Last Name
5. Required Only for under 15's. Leave blank if older. Date of Birth. In DD/MM/YYYY format.
Swim Session Details

6. Required If available in the above chart, select the date of your swim session. —Please choose an option—24/09/202325/09/202326/09/202327/09/202328/09/202329/09/202330/09/202301/10/202302/10/202303/10/202304/10/202305/10/202306/10/202307/10/202308/10/202309/10/202310/10/202311/10/202312/10/202313/10/202314/10/202315/10/202316/10/202317/10/202318/10/202319/10/202320/10/202321/10/202322/10/202323/10/202324/10/202325/10/202326/10/202327/10/202328/10/202329/10/202330/10/202331/10/202301/11/202302/11/202303/11/202304/11/202305/11/202306/11/202307/11/202308/11/202309/11/202310/11/202311/11/202312/11/202313/11/202314/11/202315/11/202316/11/202317/11/202318/11/202319/11/202320/11/202321/11/202322/11/202323/11/202324/11/202325/11/202326/11/202327/11/202328/11/202329/11/202330/11/202301/12/202302/12/202303/12/202304/12/202305/12/202306/12/202307/12/202308/12/202309/12/202310/12/202311/12/202312/12/202313/12/202314/12/202315/12/202316/12/202317/12/202318/12/202319/12/202320/12/202321/12/202322/12/202323/12/202324/12/202327/12/202328/12/202329/12/202330/12/202331/12/2023
7.Required. Session Start Time. If available in the above chart, select your swim session start time. —Please choose an option—08:0009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:00
Required. Session End Time. 1 hour after arrival is normal, unless you are able to swim for longer times safely. —Please choose an option—09:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:00
Required Email
Required Mobile Phone
Optional For Wetsuit Rental enter swimmer's Height + Chest/Dress size + Child Age. For Float Rental enter Float. Leave blank if no rental required.

Participant Agreement
Read the following paragraphs carefully.
This statement, which includes a Covid-19 Medical Declaration, a Statement of Risks and Liability, and a Warning Statement, informs you of some potential risks involved in outdoor swimming during the Covid-19 outbreak in the UK, and of the conduct required of you while outdoor swimming at Gildenburgh Water during this outbreak. 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 Gildenburgh Water during the Covid-19 outbreak. The statement also sets out the circumstances in which you participate at your own risk.
Your signature on this statement is required as proof that you have received and read this statement. It is important that you read the contents of this statement before signing it. If you are a minor, 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 Gildenburgh Water Staff Members (“Members”), nor the facility Gildenburgh Water, 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 result 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 Gildenburgh Water Staff Members (“Members”), nor the facility Gildenburgh Water, and all parties referred to above, my participation is entirely at my own risk.

I HAVE FULLY INFORMED MYSELF OF THE "TOP 12 TIPS & COVID-AWARE GUIDELINES FOR MY VISIT TO GILDENBURGH WATER" AT THE TOP OF THIS WEB PAGE. I HAVE REGISTERED VIA THE LINK AT TIP #1. I HAVE WATCHED THE VIDEO SWIM BRIEFING AT TIP #5. 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. —Please choose an option—FatherMotherGuardian

Required I am 18 or older, and I hereby tick the "I agree" box provided 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 "I agree" box above, then you should receive a message below the send button, "Your Swim Booking was sent successfully to Gildenburgh Water, and an auto-confirmation email has just been sent to your email address. Please check your inbox and spam-junk folders.".

1. HOWEVER A NUMBER OF AREAS ARE 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. IF ALL FIELDS HAVE BEEN COMPLETED 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 click the correct captcha icon, then hit the 'Send' button below and check your inbox and spam folder for our auto reply email.

Please prove you are human by selecting the heart.