BRADLEY BEACH
“Jack Wright” Ocean Mile Swim, Saturday, July __, 2019 (Rain Date July __, 2019)

 

TO BE ANNOUNCED
KENT AVE. BEACH
9:30 A.M.

AWARDS IN 9 DIFFERENT AGE GROUPS, MALE AND FEMALES!!
PLAQUES TO TOP MALE AND FEMALE SWIMMERS!!
REGISTRATION BEGINS AT 8:00am
$15.00 ENTRANCE FEE BEFORE July 1
$20.00 ENTRANCE FEE DAY OF RACE  – NO CHECKS/CASH ONLY
INCLUDES T-SHIRT!!

 

WET SUITS ARE ALLOWED FOR AGE GROUP AWARDS ONLY!
RAIN DATE: SUNDAY JULY TBA___

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NAME______________________________________________________

ADDRESS____________________________________________________

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
                                             bbguard1@msn.com