Atlantic City Around the Island Marathon Swim

Swimmer Race Application

MUST BE FILED BY JUNE 15, 2007

Mike Giegerich, Race Director

(609) 926-0714 Cell: 609-204-2873
139 Blackman Road, Egg Harbor Township, NJ 08234

Use this form to submit  your application to the Around the Island Marathon Swim:

Swimmer Name
Male or Female                   Male          Female
Country
Passport Number
Country of Passport
Address
E-mail
Telephone
Birth Date
Birth Place
Occupation
Swim Club
National Federation
Language
Coach Name(s)
Comments

Release from Liability: I hereby declare that I exonerate of all liability and responsibility however so arising, the event Organizing Committee and staff, the venue owners, Sponsors, and any other persons that participate at the Event, in respect to all and every action or claim about any accident that may occur.

Doping Control Authorization:  I agree to participate, if selected, in random drug testing at any time, either in or out of competition, as organized by FINA. I also agree that FINA rules, related to doping control and drug testing, shall be effective in relation to me personally.

Transfer of Rights: Understanding the importance for event organizers of keeping all filming, television, photographing and other recording rights during the Event, in consideration of the acceptance of my participation in event, agree to be filmed, televised, photographed and otherwise recorded during the Event under the conditions and for the purposes now and hereafter authorized by the race organizers in relation to the promotion of Marathon Swimming and the Sport of Swimming.

By submitting this form, you agree to the terms specified above.

Questions about the application can be emailed to entry@acswim.org

or added in the comments section above.

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