Triton Austin GOT2SWIM 10K | Austin, TX

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09/24/2017 @ 7:30am

Triton Austin GOT2SWIM 10K

GOT2SWIM 10K to benefit Colin's Hope.

Austin, TX

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Triton Austin GOT2SWIM 10K Registration Form

Welcome to the Colin's Hope GOT2SWIM 10K, part of the Triton Austin Weekend! We are excited to have you as part of the Open Water Planet family and thank you in advance for your commitment to Drowning Prevention!

**** WHEN YOU ARE REGISTERING, PLEASE PUT THE NAME OF YOUR WATER GUARDIAN (SOLO SWIMMERS) OR THE NAMES OF YOUR RELAY TEAMMATE(S) IN THE PROMPT FOR TEAMMATES. IF YOU DO NOT KNOW YOUR TEAM MEMBERS NAMES YET, PLEASE NOTE THAT IN THE TEAM FIELD AND EMAIL US THE NAMES AS SOON AS YOU HAVE THEM ***********

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Price Schedule

	Through 07/15/2017	Through 09/23/2017	Through 09/24/2017
GOT2SWIM 10K Solo Swimmer (must have Kayak Water Guardian, they must register)	$75.00	$75.00	$110.00
GOT2SWIM 10K 2 person relay	$75.00	$75.00	$110.00
GOT2SWIM 10K 3 person relay (must have a tandem kayak)	$75.00	$75.00	$110.00
GOT2SWIM 10K Water Guardian for Solo Swimmer	$75.00	$75.00	$110.00

Categories*

GOT2SWIM 10K Solo Swimmer (must have Kayak Water Guardian, they must register) - $110.00

GOT2SWIM 10K 2 person relay - $110.00

GOT2SWIM 10K 3 person relay (must have a tandem kayak) - $110.00

GOT2SWIM 10K Water Guardian for Solo Swimmer - $110.00

Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Country Address *

Address *

City *

State *

Zipcode *

Phone *

Emergency Contact Name *

Emergency Phone *

Competitive Club or Team add new team

select or enter a team name

Select the size of your free event apparel *

Teammate(s) or WaterGuardian Name *

Pledge Raising Waiver

I have read and agreed to the waiver *

Is the participant 18 or older? *

18 or older Under 18

You must print, sign, and bring the waiver/document with you

Electronic Waiver

Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Signing)
Triton Austin registration is first come, first served. Your spot is not reserved until we have received the registration form and payment. You can register online or by sending sign up sheet and signed waivers to the OWP office. 
What to Send: This Registration form & “personal check” should be made payable to Open Water Planet and sent to 
Triton Austin Registration, c/o Casey Taker 3109 Mid Pines Rd  Raleigh NC 27606
……………………………………………………………………………………………....................................................................................
In consideration of being permitted to participate in any way in the Open Water Swimming Program indicated below and/or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited), I as the participant below agree:

1. I, the participant will inspect the facilities and equipment to be used prior to participating in the below Open Water Swimming, and if I believe anything is unsafe, I will immediately advise the officials of such condition and refuse to participate. I understand and agreed that, if at any time, I feel anything to be UNSAFE, I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.

2. I/WE fully understand and acknowledge that:
(a) There are risks and dangers associated with participation in open water swimming events and activities which could result in bodily injury partial and/or total disability, paralysis and death.
(b) The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe.
c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the Releasees named below.
(d). There may be other risks not known to us or are not reasonably foreseeable at his time.

3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releasees named below.

4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the Open Water Planet Inc or Colin’s Hope
, used by the participant , including its owners, managers, promoters, lessees of premises, their agencies, sponsors, including., employees, or affiliates used to conduct the open water event or program, premises and event inspectors, underwriters, consultants and others who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the Lake Travis  facilities or events held at such facility and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as “Releasee” FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY TO THE PARTICIPANT, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.

5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.

6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held  invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.

7. On behalf of the participant and individually, the undersigned participant executes this Waiver and Release. If, despite this release, the participant makes a claim against any of the Releasees, the participant will reimburse the Releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY
SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Can you complete a minimum of 800 yards without stopping and without assistance?: Y N

Emergency Contact: Home Phone:____________________Work/Cell:___________________E-mail Address:_______________________

Printed Name of Swimmer_________________________USMS Swimming Reg. #__________________Home Team:______________________

Address of Participant ____________________________________________________________________________________________

Received by ______________________________________________________________________________________________________
Registrar Signature Printed Name Member # Region on File Date
Sex: M F Birth date: __/__/____ T-shirt size: M L XL

Participant Signature __________________________________________________________

Read through the agreement

I have read and agreed to the waiver above *

Is the participant 18 or older? *

18 or older Under 18

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