Swim Group Member Sign Up


  • Registration includes: Entry to Lyme Regis to Charmouth Challenge, a hot chocolate drink, biscuits & Rib Ride from our sponsors, swim hat, scan tag, a Lyme Splash medal for completion of the swim & a chance to win one of eight delicious prizes from Dorset Chocolatiers Chococo.
  • T-shirts will be posted a few days after the event, price includes P&P
  • Instructions

    For swimmer registration, please fill in the form below then click 'Add to Basket' at the bottom of the form and go through the checkout process to pay.

  • Part A: Pre-Entry Review/Assessment

  • Please give answer in minutes
  • If you answer “no” to the questions above you will be automatically precluded from participating. A participant must be able to swim a minimum of ONE MILE non-stop and have swum this in open water in the previous Four Months.
  • Part B: Pre-Challenge Fitness Review

  • If you answered yes to any question in part B you will need to have a have a Medical Referee to confirm you are fit to take part in Lyme Splash 2017.
    Please download the form HERE

    If you have completed this form and sent/will be sending it please indicate how:
  • Part C: Personal Information To Register

  • Date Format: DD slash MM slash YYYY
  • If you are under 18 you will need consent from a Parent or Guardian
    Please download form HERE

    If you have completed this form and sent it please indicate how:

  • Address

  • Name and phone number to contact in an emergency
  • Please give answer in minutes
  • Can we use your details to email you about events & news?
  • Terms & Conditions can be found here: Click to see Terms & Conditions
SKU: swim-group Category:


Please register and pay for your group via the Lyme Splash Team and then each group member needs to fill in this registration form.

Information Sheets & Forms for Swimmers

Can be found on the Downloads page

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