Swimmer Responsibility Statement 2021

Please read and download a copy of the Swimmers Responsibility Statement. The form below confirming that you have done so must be digitally signed and submitted to Lenches Lakes before your first swim. You only need to complete the form once.

if you would like to download a copy please click here

We appreciate that this is a lengthy form, however it lays out all the safety measures in place for your wellbeing and we must have a copy on file before you are able to swim for insurance purposes.

Please read slowly and thoroughly, your honesty is crucial whilst forging a way of living with Covid 19. The questions may appear obvious however we must be sure you have read, understand and are taking our measures seriously to ensure the safety of ALL.

Be aware of the main symptoms of Coronavirus ;

  • a high temperature – you feel hot to touch on your chest or back (you do not need to measure your temperature)
  • a new, continuous cough –  coughing a lot for more than  your norm  (if you usually have a cough, it may be worse than usual)
  • a loss or change to your sense of smell or taste – this means you’ve noticed you cannot smell or taste anything, or things smell or taste different to normal

Swimmers Responsibility Statement 2021

This form must be completed before your first swim
    If Yes - please do not come to the venue
    If Yes - please do not come to the venue until you have completed the mandatory self isolation period
    If Yes - please do not come to the venue until you have completed the mandatory self isolation period
    If No - please do not come to the site
    If No - please do not come to the site
  • MM slash DD slash YYYY
  • DD slash MM slash YYYY
  • If medication is left on lakeside Entry/Exit Point please ensure it is clearly labelled with your name, and what the medication is.
    If yes please ask to borrow a tow float and consider purchasing your own.
  • DD slash MM slash YYYY
  • This field is for validation purposes and should be left unchanged.
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