88th Annual Oceanside Labor Day Pier Swim

Proudly sponsored by the Oceanside Swim Club, Inc. (a non-profit organization)

MONDAY SEPTEMBER 4, 2017
Oceanside Pier — Lifeguard Tower 1
One Mile Course. Beach Start and Finish
Check-in begins at 7:00 AM and ends at 8:00 AM. First heat starts at 8:30 AM.
Swimmers need to be aware of water temperature &surf conditions. / AWARDS
1st, 2nd and 3rd place in each age/gender division & 1st, 2nd, 3rd place in each gender of wetsuit division. 1st overall for each gender.
Final results will be made available online at
Swimsuit, wetsuit, cap, goggles, earplugs and body grease are allowed. Neoprene caps, fins, or flotation devices are not allowed.
ENTRY FEES (Make checks payable to Oceanside Swim Club)
Postmarked by 31 May 2017 (includes shirt)$40
Postmarked by 31 July 2017 (includes shirt)$50
Postmarked by 31 August 2017 (shirt if available)$60
Day of Event (shirt if available)$70
Mail Entry Form and Payment to:
Oceanside Swim Club
Attn: Labor Day Pier Swim
P.O. Box 2171
Oceanside, CA 92051
Entry fees are non-refundable and non-transferable. / Minimum age for participation is 12 years. Minors must have parental consent. A parent or guardian must sign the entry form. Active Duty Military will receive $5.00 off per swimmer, except entries made on the day of the event. OSC reserves the right to reject any entry. A medical examination prior to competing in this event is strongly recommended.
To participate, you must sign the liability release below. Additional information available online at or by calling (760) 435-1031.
 Cut here 
First Name ______Last Name ______
Address ______City ______State ______
Zip Code ______D.O.B. (MM/DDIYYYY) ______Day Phone Number (______)
Email Address ______
T-Shirt Size (Circle One) XS, S, M, L, L, XL, 2XL, 3XL
How did you hear about event:  Friend/Family  Past Participant Website Facebook Twitter Magazine  Other: ______
Please Check Your Division,
Gender & Age Group / Pre-Order additionalapparel NOW & SAVE! Limited quantities available on Day of Event! Indicate quantity & total / RELEASE FROM LIABILITY, ASSUMPTION OF RISK
AND HOLD HARMLESS AGREEMENT
I, the undersigned, in consideration of being allowed to participate in this activity, and intending to be legally bound for myself, my heirs, executors and administrators, do hereby release and discharge the City of Oceanside, the Oceanside Swim Club, Inc. and their respective officers, directors, agents, employees, sponsors and contractors, jointly and severely from any and all liability from which I may suffer in any manner whatsoever arising out of or resulting from my participation in this activity including, without limitation, the risk that I may be injured as a result of the acts or omissions of the above parties or some defect in or on the property of any of them, whether caused by negligence or otherwise, and I agree to indemnity, save, hold harmless, and defend each and every of the above parties of and from any and all loss, damages, expenses, costs, and attorney's fees arising out of or resulting from my participation in this activity. I am participating at my own risk. The sponsors are NOT responsible for the conditions of the beach or water or the conduct of the participants, spectators, or referees. Oceanside Swim Club cannot issue refunds for event cancellation resulting from acts of nature. I UNDERSTAND THAT IF I AM INJURED, THIS WAIVER WILL BE USEDAGAINST ME AND ANYONE ELSE CLAIMING DAMAGE BECAUSE OF MYINJURY IN ANY LEGAL ACTION. I ALSO UNDERSTAND THAT NO SPONSOR, OR EMPLOYEE, OR AGENT OF ANY SPONSOR IS AUTHORIZED TO MODIFY THIS WAIVER. I HAVE PERSONALLY READ AND UNDERSTAND THIS WAIVER. I certify that I have read and understand this waiver and release.
______
Signature of Participant and/or Parent/Guardian if Participant is a minor.
Date:______
 Traditional  Wetsuit
 / Male /  / Female / Additional T-Shirts
Size / Quantity / Amt / Total
12-14 / 50-54 / XS / x 13
15-18 / 55-59 / S
19-24 / 60-64 / M
25-29 / 65-69 / L
30-34 / 70-74 / XL
35-39 / 75-80 / 2XL / x 16
40-44 / 80 & Over / 3XL / x 17
45-49
Totals
Check if Active Duty Military
(Military ID Required at Check-in)
Entry Fee: $ ______
(From Top Portion)
Additional T-Shirt/
Sweatshirt: $ ______
Grand Total: $ ______
Please make checks payable to
Oceanside Swim Club
Hooded Sweatshirts
(Indicate Zip or Pullover)
Size / Zip / Pull / Qty / Amt / Total
S / x 38
M
L
XL
2XL / x 48
3XL / x50