Entry Form: 2 and 4 Person Relays
Swim Around Charleston
Sunday, September 21, 2014, Race Start Time: 12 noon
Emergency Contact Name
Emergency Contact Phone
Primary Contact Information
Please choose one swimmer from each relay to act as primary contact:
City: ______________________________________ State:__________Zip:__________
Home phone: ____________________________ Mobile phone: ___________________
Emergency Contact Name: __________________________Phone:__________________
Escort boat Rental
Swim Around Charleston asks that local relays attempt to provide a boat for their relay members. If not possible or swimming as a member of a visiting relay, please indicate the need for a boat and Swim Around Charleston will provide an adequate escort vessel for all relay members and race day support. Please indicate escort craft plans. Fellow relay members may act as crew:
______We are bringing our own boat and will act as our own crew.
______We will need to rent a boat. All boat rentals come with a boat captain.
2 PERSON RELAYS - each swimmer swims an initial 30 minute leg, swimmers then alternate in 15 minute intervals.
4 PERSON RELAYS - each swimmer swims 30 minute legs for duration of event.
Entry fee: $350. per relay $350. = ____
Extra T-shirt: size: S_____M____ L____ XL ____ XXL _ $15. = ____
Escort boat rental (if required): $350. = ____
Total = ____
In the event of swim cancellation due to weather, no refunds given. Race check-in and mandatory swim and safety meeting of all participants on Saturday, September 20, 2014, 5 PM at the Holiday Inn, Mount Pleasant. No meeting, no swim!
PLEASE INCLUDE THE FOLLOWING RELEASES WITH ENTRY FORM:
Please read and sign: LIABILITY RELEASE
“I, the undersigned participant, intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in The Swim Around Charleston (training and competition), including possible permanent disability or death, and agree to assume all of those risks. AS A CONDITION OF MY PARTICIPATION IN THE SWIM AROUND CHARLESTON OR ANY ACTIVITIES
INCIDENT THERETO, I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS
FOR LOSS OR DAMAGES, INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY THE NEGLIGENCE, ACTIVE OR PASSIVE, OF THE FOLLOWING:
THE SWIM AROUND CHARLESTON,THE CLUBS, HOST FACILITIES, MEET SPONSORS, MEET COMMITTEES OR ANY INDIVIDUALS
OFFICIATING AT THE MEETS OR SUPERVISING SUCH ACTIVITIES. In addition, I agree to abide by and be governed by the rules of WOWSA. Finally, I specifically acknowledge that I am aware of all the risks inherent in open water swimming and agree to assume those risks.”
Please read and sign: AUTHORIZATION AND EVENT PROMOTION
I, the enrolled participant agree to be filmed, photographed, taped, quoted or otherwise mentioned (without compensation) by the Event Director (also known as Meet Director), or by anyone authorized by the Event Director. This includes but is not limited to the official and authorized photographers, writers, hosts, or sponsors of this event under the conditions authorized by the Event Director. I give the Event Director, and anyone authorized by the Event Director, the right to use (without compensation) my name, picture, likeness, quotes, and biographical information, whether audio or visual, before, during and after the period of my individual or team participation in this event. I will not promote third party sponsors, causes, or charities unless pre-approved by the Event Director.
I understand that there will be no refunds given for any reason including event cancellation.
PLEASE INCLUDE THE ABOVE RELEASES WITH ENTRY FORM