Please note: We will email you after you’ve completed the request form. If a suitable size is available, we will ask you to read, sign and return, the terms and conditions before we send you a FEAR Drysuit. If we do not have a suitable size available, we will email you as soon as one becomes available.

Request form

Name of person making request

First Name

Last Name

Name of adult/child borrowing a FEAR Drysuit

First Name

Last Name

Age of user

Please enter the age of child, or adult, borrowing a FEAR Drysuit

Email

This is the email we will use to contact you

Phone Number

Postal Address

Please note: FEAR Drysuits are only available in England

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Height of child/adult in need of a FEAR Drysuit

Please measure in CM

Length of loan

Please select how long you'd like to borrow a FEAR Drysuit. Please note, the max period is 6 months.

1 month

2 months

3 months

4 months

5 months

6 months

1 year

Reason for request

Please explain why you'd like to borrow a FEAR Drysuit.

Have you discussed this request with your medical team, and obtained their approval?

Approval from your medical team must be obtained before borrowing a FEAR Drysuit

Would you like a FEAR Bear to be sent with your Drysuit?

(Cost of FEAR Bear - £8)

Your donation towards the FEAR Drysuit

Your donations go towards being able to purchase more Drysuits, which in turn enable more people to swim. Thank you