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SEA SWIM 18 September 2011 One Mile Sea Swim
Broadsands, Paignton
Supported by
Torbay Council
£20
Entry Fee*
*With a minimum of £30 sponsorship
Sponsored by
TERMS AND CONDITIONS OF ENTRY This event is organised by the Devon Air Ambulance Trust, whose registered office is at 5 Sandpiper Court, Harrington Lane, Exeter, EX4 8NS, working in partnership with BBC Radio Devon. Thereby the parties above shall be known as ‘the organiser’. By entering the swim you agree to abide by the Conditions of Entry and any race instructions given to you by the organisers and officials of Agatha Christie Sea Swim.
Swim Proficiency
By entering the Agatha Christie Sea Swim, I hereby declare that I will undertake adequate swim training to enable myself to complete a one mile swim unaided and that I am a competent swimmer.
Medical Conditions
It is strongly recommended that you train for the swim and prepare for the challenge. If you have not exercised before or for some time, consult your doctor for a check up.
Race Ejection
The event organiser reserves the right to refuse an entrant’s attendance at, and/or participation in, any of its events and/or a training swim if applicable. No dogs or other animals are allowed to swim in the event. We are continuing in our mission to organise the world’s best, safest and most enjoyable swimming event and hope you will help us in achieving this. Any participant who is found in breach of these terms and conditions will be excluded from future events. Please do not put someone else at risk.
Change of Address
If your address details change after you have submitted your application, please email us with details of your old and new addresses and date of birth at info@daat.org
For Reasons of Safety
No fancy dress will be permitted.
Data Protection
The organiser complies with the Data Protection Act 1998 and you have the right of access to your personal records held on our computer. Your name will be added to our mailing list so that we can keep you informed about the charity and also other events which you may be interested in. This information will not be passed on to any third party. You are entitled to withdraw your consent to this process by ticking the appropriate box on the sponsorship form.
Swim Hats
For safety reasons and primarily for the identification by medical staff, we strictly prohibit the swapping, sale, resale or transfer of the swim hats. Your issued swim hat must be visible at all times.
Swim Mementos
Only finishers will receive a commemorative medal. Nonparticipants are NOT eligible for event mementos. The event organiser reserves the right to change the style, size and type of event mementos offered to finishers.
Collection and Use of Information
You acknowledge and agree that your personal information (including medical information collected by event medical staff during or after the event) can be stored, used and disclosed by the event organiser in connection with the organisation, staging, promotion and administration of the event and for the compilation of statistical information.
Use of Images
By entering the race you give permission to the free use of your name, voice or picture to any broadcast, telecast, advertising, promotion or other medium at the Agatha Christie Sea Swim and BBC South West.
Water Temperature and Wetsuits
If the water temperature falls below 15oC on the day of the event, wetsuits will be compulsory and no swimmer will be allowed in the water without a wetsuit. We recommend wearing a swim specific wetsuit, ie those suits designed for triathlons, which will provide extra buoyancy and warmth.
Age Limits
All participants in the Agatha Christie Sea Swim must be 16 years of age or over on 18 September 2011. Entries for those aged 1618 on the day of the swim must have their entries countersigned by a parent/guardian.
Entry Fees
£20 plus a minimum of £30 sponsorship for all UK residents. Applications will be accepted up to 12 September 2011. Entries will not be accepted after the closing date.
Swim Cancellation
If the event is unable to take place due to unforeseen circumstances, the organisers will be entitled to cancel the event. In such circumstances, we will try to let you know in writing of the cancellation. In the event of cancellation your entry fee and sponsorship received via any online giving site is non refundable and the event organiser will accept no other liability to you for any costs or expenses you may incur as a result of that cancellation. In the event of a delay in the event which is due to unforeseen circumstances beyond our reasonable control, we will have no liability to you for any costs or expenses you may incur, although you may opt to cancel your place and in that case your entry fee and sponsorship as mentioned above is non refundable. Announcements of any cancellation/postponement will be via email, on Devon Air Ambulance Trust website and BBC Radio Devon. Please ensure you enter a valid email address on your entry form.
PAYMENT DETAILS I enclose a cheque for £20 per swimmer (tick box): Please make cheques payable to ‘BBC Radio Devon Air Ambulance Appeal’ I’d like to pay my entry of £20 by credit/debit card (tick box): Visa
Maestro
Mastercard
(Please complete details below)
Issue No (If applicable)
Card number: Start date:
Security code:
Expiry date:
(Last 3 digits on back of card)
By signing this form I confirm that I have read and accept the terms of entry as set out in this entry form. Signed: Date:
Print name:
D D MM Y Y
If you are between 16 and 18 years old, please ask your parent/guardian to countersign your form below: Signed (by parent or guardian): Date:
Print name:
D D MM Y Y
BBC RADIO DEVON AIR AMBULANCE APPEAL This event is raising funds for the BBC Radio Devon Air Ambulance Appeal. In January 2010 BBC Radio Devon announced they had chosen Devon Air Ambulance Trust as their charity partner.
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The purpose of the Appeal is to raise £600,000 with the help of BBC Radio Devon listeners. This sum will facilitate the ordering of a second owned helicopter. The charity already owns one. Owning rather than leasing saves in the region of £12,000 a month so with two helicopters there are even greater savings! Devon Air Ambulance Trust is the charity which raises the funds to keep both of Devon’s Air Ambulances airborne. Independent of Government and National Lottery funding, every penny of the £4.5 million needed comes from the goodwill and generosity of the community, businesses and friends of Devon. If you would like to find out more about Devon Air Ambulance Trust, why not get in touch? 01392 466666 info@daat.org www.daat.org Devon Air Ambulance Trust, 5 Sandpiper Court, Harrington Lane, Exeter, EX4 8NS Registered Charity No: 1077998 Company No: 3855746
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Entry Form YOUR PERSONAL DETAILS Title (e.g. Mr, Mrs, Ms etc):
First name:
Surname: Address:
Postcode: Telephone:
Mobile:
Email: Date of Birth:
Gender:
Age on day of swim (please tick)
19 – 25
Male
26 – 35
Female
36 – 44
45 & over
16 – 18 (Age limit entrants must be 16 or over on 18 September 2011. Entry forms for those aged 1618 on the day must be countersigned by a parent/guardian by way of consent) How did you hear about this event?:
EVENT SPECIFICS How long do you consider it will take you to swim one mile? (Tick one box only) 40mins
50mins
60mins
80mins
Over 80mins (maximum time limit 1hour 45mins)
If you would like to swim with a friend or family member who is also entering the swim, please state their name(s)
Name: Please tick your preferred swim time
Name: am
pm
We will endeavour to allocate you your preferred time, although this will be determined by your individual estimated time taken to swim one mile
Do you consider yourself to be a competent swimmer? Medical conditions (Please state):
Yes
Current medication (Please state): On the day emergency contact details: Contact name:
Relationship to you:
Home telephone:
Mobile:
No
Sea Swim Sponsorship Form
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Title (e.g. Mr, Mrs, Ms etc): First name:
Surname:
Address:
Postcode: Telephone:
Email:
Note for participants We never give your information to other organisations for marketing purposes. Your details will be used by DAAT. We would only give your data to another organisation if required to do so by law. We would like to send you news and information about DAAT and other ways to support us. If you do not wish to receive this information, please tick this box If you would like to set up an online sponsor page please log onto www.justgiving.co.uk and search ‘Devon Air Ambulance Trust’ following the instructions on screen to set up your page/account. Note for sponsors If the named participant does not take part, any sponsor monies handed over to DAAT will be deemed as a donation to the charity. Please tick the Gift Aid box if you would like DAAT to claim tax on your sponsorship donation; this will add to the value of the amount you donate without it costing you any extra. For example, at a basic rate of 20% DAAT would receive 25p extra for every pound you donate. To qualify for Gift Aid, what you pay in income/capital gains tax must be at least equal to the amount we claim on your donation in the tax year. It is a requirement for you to use your home address and postcode to enable us to make the claim. We never give your information to other organisations. Your contact details will not be used by DAAT or passed to any other companies; details will only be used to reclaim Gift Aid on your donation where applicable. We are unable to claim Gift Aid on any sponsorship where a company address is provided. Name
Home address
Postcode
(Please use capital letters)
(Please use capital letters and provide your home address; DAAT will not use your personal details to contact you in any way)
(Your postcode must be supplied in order for us to claim Gift Aid for your donation)
MR A N OTHER
1 HIGH STREET, ANYTOWN, COUNTY
AB1 2FD
Gift Amount Amount Aid pledged collected ( √)
√
£10
Sub total
£10
SPONSORSHIP FORM (continued) Sub total Name (Please use capital letters)
Home address
(Please use capital letters and provide your home address; DAAT will not use your personal details to contact you in any way)
Postcode
(Your postcode must be supplied in order for us to claim Gift Aid for your donation)
Gift Amount Amount Aid pledged collected
(Tick)
Sub total Total • You must not consider Gift Aid as contributing towards your sponsorship target, but see it as an addition to your target. • Please return all sponsorship forms with your minimum £30 sponsorship money to the address below or on the day. If your sponsorship money has been raised via justgiving then please bring along a screen print of your sponsorship page. • This sponsorship form must be returned to DAAT together with all donations. Your donations must match the total on this sponsorship form. B BC • All cheques must be made payable to ‘BBC Radio Devon Air Ambulance Appeal’.
Thank You
Devon Air Ambulance Trust, 5 Sandpiper Court, Harrington Lane, Exeter, EX4 8NS