OFFICAL ENTRY FORM

OCEAN CITY LIFGUARD ASSOCIATIONS MASTER OCEAN SWIM

 

NAME ______________________________________________________________

SEX ______   AGE _____________

ADDRESS ___________________________________________________________________

CITY _____________________________________________ STATE _____ ZIP ___________

PHONE : __________________________________________

MAKE CHECKS PAYABLE TO: OCEAN CITY BEACH PATROL OUTSIDE ACTIVITIES

MAIL ENTRIES TO: L & M COMPUTER SPORTS

RELEASE FORM

In consideration of accepting this application, I, the undersigned, intending to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release all rights and claims for losses and damages I may have against the City of Ocean City,NJ, Ocean City Beach Patrol, the Ocean City Lifeguard Association, any commercial sponsors, and all other parties and their representatives, successors, and assigns for any and all injuries suffered by me in said event. I attest and verify that I am physically fit and have sufficiently trained for competition of this event and my physical consition has been verified by a medical doctor. NO ONE MAY ENTER THIS EVENT WITHOUT SIGINING THIS OFFICIAL WAIVER.

SIGNED ___________________________________________________ DATE _________________

SIGNED ______________________________________________________