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S2S Military Mile
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North Carolina Open Water Championship Registration Form
Registration for Masters, Tri, Recreational swimmers AND USA Swimmers coming without a coach /team
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USA Swimmer Registration Fee
NON-USA (incl Masters) Swimmer Registration Fee--Single Meet USA Swimming Membership Fee included
NON-USA (Incl Masters) BUDDY Swimmer ONLY Registration Fee-Single Meet USA Swimming Membership Fee included-
USA Swimmer Registration Fee -
NON-USA (incl Masters) Swimmer Registration Fee--Single Meet USA Swimming Membership Fee included -
NON-USA (Incl Masters) BUDDY Swimmer ONLY Registration Fee-Single Meet USA Swimming Membership Fee included- -
SEVEN LAKES North & South Resident swimming the 400 M -
Participant First Name
Participant Last Name
- month -
- day -
- year -
-- select state --
District of Col.
Emergency Contact Name
Select the size of your free event apparel
-- select one --
Affiliated Club, Team, or Organization
add new team
- select your club or team-
Cy-Fair Swim Club
TAC Titans Masters
YOTA- YMCA of the Triangle Area
- I am not a member of a team -
new team name
Event Fees: Please select all races you plan to swim. Poseidon swimmers, please check both individual races & Poseidon
400 M Open Female - $12.00
400 M Open Male - $12.00
400 M Buddy swimmer Male or Female
S2S Mile Female (18 & Over-not open to USAS Club swimmers) - $12.00
S2S Mile Female Active Military Member - $6.00
S2S Mile Male (18 & Over-not open to USAS Club swimmers) - $12.00
S2S Mile Male Active Military Member - $6.00
5K Open Female - $12.00
5K Open Male - $12.00
3K 13/14 Female - $12.00
3K 13/14 Male - $12.00
3K Open Female - $12.00
3K Open Male - $12.00
2K 11/12 Female - $12.00
2K 11/12 Male - $12.00
2K Open Female - $12.00
2K Open Male - $12.00
800 M 10/Under Female - $12.00
800 M 10/Under Male - $12.00
800 M Open Female - $12.00
800 M Open Male - $12.00
800 M Buddy swimmer Male or Female
Poseidon Swimmer (please select if applicable in addition to specific races)
Please list middle initial
Are you a USA Swimming Member?
No (MASTERS swimmers should check here)
Are you a member of another FINA Federation? If yes, please list.
Legally Blind or Visually Impaired
Deaf or Hard of Hearing
Physical Disability such as amputation, cerebral palsy, dwarfism, spinal injury, mobility impairment
Cognitive Disability such as severe learning disorder, autism
Ethnicity. You may check up to 2.
Black or African American
HIspanic or Latino
American Indian or Alaskan Native
Some Other Race
Native Hawaiian and other Pacific Islanders
Please list your USA Club team name
Make a Donation
The Greg Doughty Building Champions Fund
(learn more about this cause)
The Greg Doughty Building Champions Fund honors former Sandshark Greg Doughty's memory and supports Sandsharks' mission to expand aquatics programming to the Sandhills community. Through Learn to Swim lessons, competitive swimming, and lifeguard training the Sandhills Sandsharks save lives while building champions.
Make A Splash! Learn to Swim for under-served communities
(learn more about this cause)
Sandhills Sandsharks is the only USA Swimming Make A Splash Partner in Moore County! We provide Learn to Swim lessons for at risk populations at the Town of Southern Pines Pool Park; however, we need donations to run this program; we are a nonprofit organization which receives no outside funding. In March of 2018, SSS moved its lessons and year round competitive swim program to the Town of Southern Pines pool, meaning more space for programming at a prime location in Moore County. The Southern Pines pool, built in the early 1960's, has served West Southern Pines, a predominantly African American neighborhood, for decades. It is located within blocks of both the Boys and Girls Club and elementary schools, including the soon-to-be-built K-5 elementary school off of Morganton Road. However, few of the children in the neighborhood have been able to take lessons. We are trying to change that, but need your help!
Waiver, Acknowledgement and Liability Release: I, the undersigned coach or team representative, verify that all of the swimmers and coaches listed on the enclosed entry are registered with USA Swimming. I acknowledge that I am familiar with the Safety Rules of USA Swimming, Inc. and North Carolina Swimming, Inc. regarding warm-up procedures and meet safety guidelines, and that I shall be responsible for the compliance of my swimmers with those rules during this meet. Sandhills Sandsharks, Seven Lakes Landowners, Inc, North Carolina Swimming, Inc., and USA Swimming, Inc., their agents, employees, and coaches shall be held free and harmless from any and all liabilities or claims for damages arising by reason of illness or injury to anyone during the conduct of this meet. I also acknowledge that by entering this meet, I am granting permission for the names of any or all of my team’s swimmers to be published on the internet in the form of Psych Sheets, Meet Results, or any other documents associated with the running of this meet.
Read through the agreement
I have read and agreed to the waiver above
Are you 18 or older?
18 or older
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. If registering a child under 13, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Discount, Tracking, or Charity Code
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Visa or Master Card
Credit Card #
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