Entry Form - SOLO SWIMMER

Swim Around Charleston

Sunday, September 21, 2014, Race Start Time 12 noon

 

Swimmer’s name: _______________________________________________________

T-Shirt Size: _____________ Age on race day_________________________________

Address: _______________________________________________________________

City: ______________________________________State:__________Zip:__________

Email: _________________________________________________________________

Home phone:____________________________Mobile phone:____________________

Emergency Contact Name: __________________________Phone:_________________

Brief summary of open water experience:

 

 

 

 

 

 

Entry fee: $225. per solo swimmer                                                                        $225.

Extra T-shirt   size: S_____M____ L____ XL ____ XXL _____ #_______x     $15 = ____                           

                                                                                                                               Total= ____

Please indicate escort craft plans (please check one):

______I am bringing my own kayak and paddler.

______I am bringing my own kayak but I need help finding a paddler.

______I will need to rent a kayak but have my own paddler.

______I will need to rent a kayak and I need help finding a paddler.

 

Kayak rentals will bill separately and provide delivery and pick-up to start and finish lines. They will assist in matching local paddlers for swimmers who may require race day support.  It is the swimmer’s responsibility to make rental arrangements for kayak.  Please contact Sea Kayak Carolina at 843-225-7969 and identify yourself as a Swim Around Charleston participant.

 

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, Mt. 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.”

 

Swimmer’s Signature: _______________________________________ Date: ______________

 

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.

 

Swimmer’s Signature: ______________________________________ Date: ______________

PLEASE INCLUDE THE ABOVE RELEASES WITH ENTRY FORM