OCEAN MILE SWIM
SAT. JULY 7, 2012
KENT AVE. BEACH
AWARDS IN 9 DIFFERENT AGE GROUPS, MALE AND FEMALES!!
PLAQUES TO TOP MALE AND FEMALE SWIMMERS!!
REGISTRATION BEGINS AT 8:00. $12 ENTRANCE FEE BEFORE July 1
$15 ENTRANCE FEE AFTER July 1 – NO CHECKS/CASH ONLY
WET SUITS ARE ALLOWED FOR AGE GROUP AWARDS ONLY!
RAIN DATE: SUNDAY JULY 8th
TOWN_______________________________ STATE________ ZIP____________
SEX__________ AGE_________ SHIRT SIZE: SMALL MED LARGE XL (circle one)
MAKE CHECKS PAYABLE TO: BRADLEY BEACH LIFEGUARDS
Acknowledgment, Wavier & Release
I hereby for myself, my heirs, executors, administrators and assigns do hereby waive, release and forever discharge any and all claims and rights for damages and loss of any nature and kind which I might have against the Borough of Bradley Beach and any organization, municipal entity and individual associated with this event and I agree to hold them harmless from any such claims. I have been advised that I must be in good health to participate in this event, and I hereby certify that I am physically fit and have trained for this event. I have read and fully understand these conditions.
Signature (by parent, if under 18)____________________________ Date ___________
RETURN TO: DICK JOHNSON
306 EVERGREEN AVE.
BRADLEY BEACH, N.J. 07720