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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 also broken down into seven sections, and supplemental documents can be uploaded at the end. PDF, JPEG, PNG formats are accepted. PDF is preferable.

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.

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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*
Emergency contact #2 address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Physician name*
First Last
Physician phone*
Physician email
If you have it!
Physician address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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When did you decide to participate in this extreme swim?*
What influenced your decision?*
Why do you want to do it?*
How many companions will travel with you for this swim?*
Please enter a number 0-99
Your travel companions include*
- Spouse/Partner
- Friends
- Relatives
- Parents
- Guardians
- Team
- Pacer
Have you done any research or the area you will be swimming in?*
- Yes
- No
What are your expectations of the conditions for this swim?*
Example: water and air temperatures, conditions, etc.
Estimated swim date*
This may not be exact, but that's okay!
MM
DD
YYYY

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Your passport number*
Passport issuing country*
Passport expiry date*
MM
DD
YYYY
Embassy/consulate in your home city*
This is the embassy/consulate of the country you are traveling to.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
This is the phone number of the embassy/consulate of the country you are traveling to as addressed above.
Embassy/consulate in the country you are swimming in*
This address is the embassy/consulate of your home country in the country you are traveling to.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
This is the phone number of the embassy/consulate of your home country.
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!

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Supporting documents
You may or may not have documents to supply at the time of application. If you do, please upload them here. When you submit your application, you will be emailed a checklist and further instructions.
Drop files here or
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.*
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 a 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.

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International Application

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