2024 SWIM OZ: Open Water Swims
You MUST complete this form in order to participate in ANY of our weekly swims. Once per season is all we need. If you are unsure if you have completed this or not, just do it one more time. We will keep your information confidential. We happily accept donations via Cash or Venmo. 

In order to swim with our Wednesday evening swims, we do require swim buoys. We do have a few onsite to buy, and a few that are first come first served to borrow. 
Also, we need volunteers! We bring 3 kayaks and 4 standup paddle boards that need people on them! The more boats on the water, the safer the swimmers are. So, bring a friend with you that wants to paddle around! Check out our website or Facebook event for volunteer signup!

Make sure you have joined our SLACK channel for updated weather or any changes to the Wednesday swims. Upon completion of this form, you will receive an email with the SLACK link. 
Please reach out with any questions! 919.939.1408
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Email *
Full Name *
How are you planning to make your donation? *
USMS Member Number or US Swimming Member Number *
Phone Number *
Emergency Contact Name & Number *
What brings you to us? To have fun, an upcoming race, just want to try it, etc. *
If you have an upcoming race, what is the event, distance, date, location?
Do you have any health concerns? *
How did you hear about us?  *

WAIVER AND RELEASE OF LIABILITY -- READ BEFORE SIGNING In consideration of being allowed to participate in any way in the SWIM OZ program, its related events and activities, I acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the SWIM OZ Club immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS SWIM OZ Club and Bonnie Adams, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

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