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2019 Season

solo swim application

 
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
Include event, date, distance, time, link to results.
Describe your anticipated feed plan for this swim.
What else should be considered?
Emergency information
Emergency contact *
Emergency contact
Emergency contact phone *
Emergency contact phone
This will not be used to evaluate your application.
Agreement
Waiver *
Liability Release: As a condition of participating in a NOWSA Sanctioned Swim, I acknowledge that open water swimming is an inherently dangerous sport. 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 SANCTIONED 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. We will contact you with payment info separately. Our 2019 fees are posted on our website.