Swim Waiver

Kincardine Women’s Triathlon – Swim Waiver and Release from Liability

To be completed by all competitors.   Competitors who do not complete this form will be prohibited from participating in the event. 
If you are not participating in the swim leg of the 2010 Kincardine Women’s Triathlon complete item 1. 
If you are competing in the swim leg of the 2010 Kincardine Women’s Triathlon complete item 2.
 
Item 1
 
I am competing only in the Duathlon, the bike or run leg of the Relay and will not be participating in the swim leg of the 2010 Kincardine Women’s Triathlon.
 
Name of participant__________________________________________________________________(print)
 
Signature___________________________________________________________________________
 
Date_________________________ Date of birth___________________________________________
 
If participant is under 18 years of age the signature of the participant’s parent/guardian is required as confirmation of this declaration.

Name of parent/guardian_______________________________________________________________(print)
 
Signature____________________________________________________________________________
 
Date________________________________________________________________________________
 
Item 2
 
In order to participate in the swim leg of the 2010 Kincardine Women’s Triathlon you must be aware of the hazards associated with open water swimming and must be capable of safely swimming at least 350m in open water.  To be considered for entry in to the 2010 Kincardine Women’s Triathlon you must as a minimum meet one of the following criteria.
(i) You have completed the swim in a triathlon of equal or greater distance, or
(ii) You have completed a continuous swim in a pool or in open water of equal or greater distance within the last 30 days.
 
Please complete the following: 
(i) I have completed the swim leg of a triathlon of equal or greater distance. 
Name of event _______________, location _______________, swim distance_______________, date of event_______________, or
(ii) I have successfully completed a continuous swim of 350m or greater within the last 30 days. 
Location_______________, distance_______________, date of swim________________.

I hereby certify that the above information is true.  I understand that meeting the minimum criterion to participate in the swim leg of the 2010 Kincardine Women’s Triathlon does not imply that this is necessarily an adequate criterion for participation.  I understand the risks associated with open water swimming, which include but are not limited to those caused by obstacles, contact with watercraft and/or other swimmers, water conditions, weather and the actions of others.  I acknowledge that the swim leg of the 2010 Kincardine Women’s Triathlon will be an extreme test of my abilities and carries the potential for death or injury.  I am aware that those who will provide emergency water rescue and emergency first aid will be volunteers.  I hereby consent to emergency water rescue and to receive any medical treatment that may be deemed advisable due to participating in the event.  I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I confirm that all the provisions of the general waiver and release from liability form also apply to the swim waiver and release from liability form.
 
Name of participant___________________________________________________________________(print)
 
Signature____________________________________________________________________________
 
Date_________________________ Date of birth_____________________________________________
 
If participant is under 18 years of age the signature of the participant’s parent/guardian is required.
As parent/guardian of the participant I assume all the above conditions of the waiver on behalf of the participant

Name of parent/ guardian_________________________________________________________________(print)
 
Signature______________________________________________________________________________
 
Date__________________________________________________________________________________