* indicates required field First Name:* Last Name:* Email:* Address: Street number/street name* Address: City* Address: State* Address: Zip or Post Code* Address: Country code (e.g., USA)* Cell phone number:* Date of Birth (MM/DD/YYYY):* Gender* Female Male T-shirt size:* XS S M L XL 2XL Emergency contact name:* Emergency contact phone number:* Medical: History & relevant conditions* 8 Bridges All Seven Stages Solo All Seven Stage Tandem Check all of the 20 Bridges dates you are available for. SWIMMERS: order your preference of 20 Bridges swim windows from highest (1) to lowest (6). If you cannot make one of the dates do not include it in your list. We will assign you to a swim date before requesting payment. (e.g., 4,2,1,3,5) 20 Bridges Order Preference Check all of the 40 Bridges dates you are available for. Select all of the 40 Bridges dates you are available to swim: 40 Bridges-1. July 12-13 [Pier A Start] 40 Bridges-2. August 10-11 [Pier A Start] Ederle Burke Swim SWIMMER INFORMATION: List your pace for a one-hour pool swim at a strong pace in kilometers per hour. If you swim in a yard pool be sure to convert this pace to meters. [This is for the purpose of creating a model for your swim that optimizes your start time relative to the tidal currents]* 2.4 km/hr 2.5 km/hr 2.6 km/hr 2.7 km/hr 2.8 km/hr 2.9 km/hr 3.0 km/hr 3.1 km/hr 3.2 km/hr 3.3 km/hr 3.4 km/hr 3.5 km/hr 3.6 km/hr 3.7 km/hr 3.8 km/hr 3.9 km/hr 4.0 km/hr 4.1 km/hr 4.2 km/hr 4.3 km/hr 4.4 km/hr 4.5 km/hr 4.6 km/hr 4.7 km/hr 4.8 km/hr 4.9 km/hr 5.0 km/hr SWIMMER INFORMATION: What is the distance you swim in one week when training for a marathon swim? SWIMMER INFORMATION: List your marathon swimming experience over the past three years. SWIMMER INFORMATION: List any other athletic activities you would like us to consider in your application. SWIMMER INFORMATION: Include a one to three paragraph biography about yourself including your marathon swimming experiences. SWIMMER INFORMATION: Provide your feeding plan for a marathon swim SWIMMER INFORMATION: Are you a solo swimmer or tandem? Solo Tandem SWIMMER INFORMATION: What is the name of your tandem partner? SWIMMER INFORMATION: Are you intending to fundraise for a charity for your swim? Yes No SWIMMER INFORMATION: Name of charity: Are you a proficient at speaking and understanding english? Yes No What language/s do you speak? At the time of registration can you fully commit to the events you signed up for: I can commit to the events I signed up for at this time. I can NOT commit to the events I signed up for at this time. Comments, questions, requests: Liability Release: As a condition of participating in the Manhattan 20 Bridges Swim, 40 Bridges double Manhattan Swim, 8 Bridges Swim, and Ederle-Burke Swim I agree to attend the mandatory briefing the morning before the start of the event, and will abide by the event rules and regulations including water safety determinations. On behalf of myself and my heirs, and intending to be legally bound, I hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of the risks inherent in participating in open water swimming events and in training for same, including permanent disability and death, and agree to assume all of those risks. AS A CONDITION OF MY PARTICIPATION IN THE MANHATTAN 20 BRIDGES, 40 BRIDGES, 8 BRIDGES, EDERLE-BURKE AND ANY ACTIVITIES INCIDENT THERETO, I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES TO MY PERSON OR PROPERTY, INCLUDING ALL CLAIMS FOR LOSS OR DAMAGES CAUSED BY NEGLIGENCE, ACTIVE OR PASSIVE, OF ANY OF THE FOLLOWING: HOST FACILITIES, NYOW (NEW YORK OPEN WATER, INC), EVENT SPONSORS, EVENT COMMITTEES, VOLUNTEERS, AND ANY INDIVIDUALS OFFICIATING, SUPERVISING AND/OR OTHERWISE INVOLVED IN CONDUCTING THIS EVENT. I agree to these terms.* I agree CAPTCHA Code:*
