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Water World SwimWater World Swim
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Galapagos Application

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Galapagos

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  • GENERAL INFORMATION

  • EMERGENCY CONTACT & MEDICAL

  • SWIM & FITNESS INFORMATION

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  • INTERNATIONAL INFORMATION

  • Address of the Italian Embassy/Consulate where you live.
  • Phone number of the Italian Embassy/Consulate (addressed above).
  • This address is the embassy/consulate of your home country in Italy.
  • Phone number of the your home country's Embassy/Consulate (addressed above).
  • WAIVER & DISCLAIMER AGREEMENTS

  • Your agreement to this statement is required for you in order to participate in our open water swim training program offered by Water World Swim, LLC, located in the City of San Francisco, California, USA, Valparaiso, Punta Arenas, Tierra del Fuego , Chile, Italy, and UK.

    Your agreement indicates that you understand and accept the following:

    ASSUMPTION OF THE RISKS OF COLD WATERS SWIMMING: Swimming in cold waters is inherently dangerous. There have been swimmers that have died due to long exposure to cold water and suffered hypothermia. Also some swimmers swimming in rough open waters in different parts of the world have found obstacles or encounters with wild marine animals that in some instances have attacked swimmers. Swimmers have been injured by objects in the water, both floating and fixed. There may be health hazards associated with pollution and currents, often more powerful than the strongest swimmer, are unpredictable and could swept swimmers off course.

    OPEN WATERS IN SOME REGIONS OF THE WORLD ARE EXTREMELY COLD. Temperatures typically range between 40 and 50 degrees Fahrenheit (4.5 C-10 C) . Swift currents and cold water have precipitated drowning, heart attacks and hypothermia. These are just some of the hazards and dangers associated with open water swimming.

    I UNDERSTAND AND ASSUME ALL RISKS ASSOCIATED WITH SWIMMING IN OPEN AND COLD WATERS WAIVER AND RELEASE OF WWS: On behalf of my heirs, assignees, personal representative, and next of kin, I hereby release and hold harmless Water World Swim, LLC Organization, its officers, members, officials, agents and employees and other participants, with respect to all injury, disability, death, or loss, injury or damage to me or my property, whether arising from the negligence of Water World Swim, LLC, its members or officers, or otherwise. By signing this waiver and release, I certify that I understand that I cannot sue any person, instructor or coaches or those who act on behalf of the Open Water World Swim, LLC organization or those who may have authority over the company, and no one else can sue on my behalf.
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Thank you to the San Francisco Police Department, the U.S. Coast Guard, and the U.S. National Park Service.
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