Register For
12th Annual Barnegat Light Ocean Mile Swim

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

Have An Account?

Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Address

Choose Your Event(s) *

$30.00 + $3.75 SignUp Fee

Event Preview

Would you like to join or create a Team?


Waiver

IN CONSIDERATION FOR ACCEPTING THIS ENTRY AND THE GRANTING OF THE RIGHT TO PARTICIPATE IN THIS EVENT, I THE UNDERSIGNED, INTENDING TO BE LEGALLY BOUND, HEREBY, FOR MYSELF AND MY HEIRS, ASSUME ALL RISK OF INJURY DUE TO MY PARTICIPATION IN THIS EVENT AND WAIVE AND RELEASE FOR ANY AND ALL CLAIMS, DAMAGES, COSTS OR EXPENSES WHICH MAY ARISE AGAINST THE BOROUGH OF BARNEGAT LIGHT, THE BARNEGAT LIGHT BEACH PATROL, SPONSORS, EVENT REPRESENTATIVES, SUCCESSORS AND ASSIGNEES AND/OR ANY OTHER PERSON WHOMSOEVER FOR ANY AND ALL INJURIES, ILLNESSES, INCLUDING DEATH THAT MAY RESULT FROM MY PARTICIPATION IN SAID EVENT. I REPRESENT AND AFFIRM THAT I AM IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN THIS EVENT AS VERIFIED BY A LICENSED PHYSICIAN AND HAVE SUFFICIENTLY TRAINED FOR THE COMPLETION OF THIS EVENT. I HEREBY GRANT FULL PERMISSION TO ANY AND ALL FOREGOING TO USE PHOTOGRAPHS, VIDEOTAPES, MOTION PICTURES, RECORDINGS OR ANY OTHER RECORDS OF THIS EVENT FOR ANY PURPOSE WHATSOEVER. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNED THIS RELEASE AND WAIVER.




We use cookies to offer you a better browsing experience. Read how we use cookies and how you can control them by visiting our Privacy Policy. If you continue to use this site, you consent to use all cookies.