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Mercer Island Marathon Swim

solo application

Applications due no later than 11:59pm on 10 February 2019

 
Event understanding *
I understand that:
  1. This is a 20km unassisted marathon swim in which wetsuits are not permitted. I may be in the water for up to 9 hours and cold water acclimatization is of critical importance. Rules are posted here.
  2. In the event of an emergency on the course, I may be pulled from the water and my swim will be over.
  3. My paddler and the event organizer will be counting on me to make good judgement calls and answer questions truthfully regarding my own health and wellness.
  4. Additional information will be provided about this event, and I will read all of it and should ask any and all questions about my responsibilities before the day of the event.
Personal info
Name *
Name
Birthdate *
Birthdate
Cell phone *
Cell phone
(Something you'll bring with you the day of the swim.)
Home address *
Home address
Swimmer qualifications and details
Open water swim pace, indicate how this was measured.
Must include at least one swim over 10k. List only swim events.
Past marathon swimming service, including crew, observing, paddling, or other service.
Kayak & paddler *
Each swimmer in MIMS2019 must have a dedicated paddler with them at all times.
If you're bringing a paddler, please provide their name.
Describe your anticipated feed plan for this swim.
What else should be considered?
Emergency information
Emergency contact *
Emergency contact
This cannot be your kayaker.
Emergency contact phone *
Emergency contact phone
Please list any relevant allergies and medical or health information you would like us to be aware of in case of an emergency. This will not be used to evaluate your application. You are NOT required to provide this information.
Agreement
Waiver *
Liability Release: As a condition of participating in the Mercer Island Marathon Swim, I agree to attend the mandatory briefing the morning before the start of the event, and will abide by the event rules and regulations including water safety determinations. On behalf of myself and my heirs, and intending to be legally bound, I hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of the risks inherent in participating in open water swimming events and in training for same, including permanent disability and death, and agree to assume all of those risks. AS A CONDITION OF MY PARTICIPATION IN THE MERCER ISLAND MARATHON SWIM AND ANY ACTIVITIES INCIDENT THERETO, I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES TO MY PERSON OR PROPERTY, INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY NEGLIGENCE, ACTIVE OR PASSIVE, OF ANY OF THE FOLLOWING: HOST FACILITIES, NOWSA (NORTHWEST OPEN WATER SWIMMING ASSOC, INC), EVENT SPONSORS, EVENT COMMITTEES, VOLUNTEERS, AND ANY INDIVIDUALS OFFICIATING, SUPERVISING AND/OR OTHERWISE INVOLVED IN CONDUCTING THIS EVENT.
Fees *
You are not required to pay anything now. If selected, you will be notified by email and given payment instructions. 25% of the registration fee will be due before 1 March 2019 and is not refundable. The balance is due by 30 April 2019 and is not refundable within 30 days of the swim date.