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International Application

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Welcome to the International Application! If you are applying for swims in Italy or any of our big challenges, this is the form you should be using.

This is a long form, so at any time you can save your progress - you can also email yourself a link to continue later. The application is broken down into multiple sections. You will be providing:

Event choice
Swimmer information
Parent / Guardian information (for swimmers under 18)
Emergency contact information (we require two contacts)
Medical information
Swim and fitness information
Swim interests
Passport and embassy information
Waiver and disclaimer agreement signature

Thanks and we'll see you in the water!

All medical exams required as Stress test and EKG tests must be submitted 60 days previous to the swim.

By clicking submit, you hereby certify that you have read and agree to Water World Swim LLC's terms and conditions and the notes on confidentiality & minors in the fold out below.

Step 1 of 6

Events
Event(s)*
Please check all events for which this application applies.
- Italy: Messina
- Italy: Bonifacio Channel
- Italy: Capri Napoli
What are your requested swim dates (5 day range)? Subject to confirmation.*
Choose dates in May, June, July, September. There are no swims in August.
Swimmer Information
For swimmers under the age of 18, a parent or guardian must fill out the swim application.
Hidden
You (the swimmer) are under age 18
- Yes
- No
Name*
First Last
Gender*
- Male
- Female
- Non-Binary
- Prefer not to say
Date of birth*
Month
Day
Year
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number*
Email address*
Enter Email Confirm Email
Age on event date(s)*
Parent / Guardian Information - for swimmers under 18 years old
You will be contacted to validate this application
Parent / Guardian Name*
First Last
Parent / Guardian Phone*
Parent / Guardian Email*
Enter Email Confirm Email
Please double check for typos!

Save and continue later

Emergency Contact Information
Emergency contact #1 name*
First Last
Emergency contact #1 relationship*
Emergency contact #1 phone*
Emergency contact #1 email address*
Emergency contact #1 address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency contact #2 name*
First Last
Emergency contact #2 relationship*
Emergency contact #2 phone*
Emergency contact #2 email address*
Hidden
Emergency contact #2 address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Medical Information
Physician name*
First Last
Physician phone*
Physician email
Physician address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you take any prescription medicines?*
- Yes
- No
Please list your prescriptions*
Are you allergic to any medication?*
- Yes
- No
Please list medications you are allergic to.*

Save and continue later

Passport and Embassy Information
Your passport must be current and valid for at least 6 months after the swim date.
Your passport number*
Passport issuing country*
Passport expiry date*
Month
Day
Year
Embassy/consulate of your passport's issuing country*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
This is the phone number of the embassy/consulate as addressed above.
Embassy/consulate in the country you are swimming in*
This address is your passport's issuing country embassy/consulate in the country you are traveling to. For example, if your passport is issued by the U.S.A. and the swim is in Italy, then this address is of the U.S.A. embassy in Italy.
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
This is the phone number of the embassy/consulate as addressed above.
List of local newspapers/websites/outlets in your home town
Optional, but press is great!
List of local tv stations or other media in your home town
Optional, but press is great!

Save and continue later

Next Steps
You will be emailed a checklist and further instructions for your supporting documents. This is necessary in order for the Authorities the approve the swim.
For approval of you application, you will need to send a letter from your doctor stating your health and test results. You will need to bring your EKG and strength test results with you on the trip.
Waiver and Disclaimer Agreement
Hidden
This is a statement in which you are informed of some potential risks involved in open water swimming and of the conduct required of you during the long distance open water training program.
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.
- I agree to the Waiver and Release of Water World Swim, LLC and hereby allow my digital agreement to act in place of my signature.
This is a statement in which you are informed of some potential risks involved in open water swimming and of the conduct required of you during the long distance open water training program.
Statement of Potential Risk*
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.
- I am an adult swimmer or the parent/guardian of a minor participating in an extreme swim and agree to the Waiver and Release of Water World Swim, LLC and hereby allow my digital agreement to act in place of my signature.
Full Name as Signature

Save and continue later

International Application

Step 1 of 6

Events

Swimmer Information

Parent / Guardian Information - for swimmers under 18 years old

Emergency Contact Information

Medical Information

Swim and Fitness Information

Swim Interests

Passport and Embassy Information

Next Steps

Waiver and Disclaimer Agreement