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WAIVER

This waiver is for all our health and saftey needs. If you have dipped with me before you only need to fill out one per year or changes to health.

Any questions regarding contraindications or food requirements, please do get in touch.

D.O.B
Day
Month
Year

Cold Statement


My participation in the plunge involves known and unknown risks, dangers, and hazards that may cause death, personal injury, damage to personal property and loss of personal property.

The risks and consequences I am acknowledging include, but are not limited to:

  • Uneven surfaces as we are located on the beach or slippery surfaces caused by water, ice, snow, or other substances.

  • Exposure to cold and understanding contraindications (below)

  • Exposure to the outdoors and elements.

  • Collisions or contact with other persons and objects inside or outside.

  • Visible and invisible natural or man-made hazards

  • Other foreseeable and unforeseeable risks that contribute to the unpredictability of the cold plunge

I understand and confirm the above statement.

Cold Contraindications


• Pregnancy (especially during the first trimester or without medical clearance).

• Cardiovascular conditions, including hypertension, hypotension, or heart disease.

• History of fainting, dizziness, or unmanaged low blood pressure.

• Recent surgeries, injuries, or open wounds.

• Diabetes or other conditions impacting nerve function or circulation.

• Epilepsy or other seizure disorders.

• Migraines

• Cardiovascular conditions (e.g., arrhythmias, uncontrolled hypertension).

• History of stroke or blood clots.

• Pregnancy

I understand and confirm that I have non of the above contraindications
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