OFFICIAL ENTRY FORM
First Name
Date Of Birth
Age`on Race Day
Mailing Address
Home Phone
WELCOME
AND
THANK YOU FOR YOUR REGISTRATION

Dan's Cup Winter Loop Ocean Swim
Sex
Last Name
Mobile Phone
Email Address
Military Service or Swimming Organization? (Name
Swimming Experience:    Completion is required for entry.
Have you competed in ocean swimming before?
If yes, include the following information:
Name of Event
Date
Location of Event
Number of Event (s)

* If No, You may only register for 800m swim.
How many days a week do you practice?
How far do you swim at each practice? __________meters  
1500 Meter Freestyle Time________ 
Have you prepared for swimming this event? 
Do you have Medical Insurance?   
Have you read the waiver for entry?    
I understand and will comply with the Rules.
Indicate the course you wish to swim   
Please read waiver below   
By submitting this form I agree and confirm to all information listed above. 
Additional Comments
3rd Dan's Cup Winter Loop Ocean Swim
Saturday, November 29, 2008. 
Ypao Beach Park, Tumon, Guam

Pre-Race Briefing:  (not mandatory) Friday, 5:45pm Ypao Beach Park Pavillion

Course A:  5000m    Start:  800am
Course B:  1600m    Start:  9:35am
Course C:  800m      Start:  10:20am
Course D:  3x200m   Start:  11:00am
Check In: 30 MINUTES PRIOR TO THE START OF YOUR REGISTERED EVENT


Entry Fee: $20.00
Includes T-shirt, refreshments, entry fee, time, etc

Registration Deadline:
Thursday 6pm

Late Reg Fee: $30.00

Entry forms also available at Hornet Sporting Goods.

Female Male
NoYes
NoYes
NoYes
NoYes
NoYes
Course A:  5000m    Start:  800am
Course B:  1600m    Start:  935am
Course C:  800m      Start:  1020a
Course D:  3x200m   Start:  11:00am
NoYes