Event cost: $60 per swimmer (10% early bird discount currently available)
Reminder: Last day to register online is September 15, 2016
Event T-shirt Guarantee: Please register before August 20th to be guaranteed a T-shirt
To begin registration process, please fill out the form below.
You will be forwarded to the payment page when registration form is submitted.
2016 UPSTATE SPLASH OPEN WATER SWIM Waiver
Waiver and liability release
The UPSTATE SPLASH Open Water Swim 2016-- Indemnity & Release. By signing this agreement, I acknowledge that THE UPSTATE SPLASH is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am physically fit, have sufficiently trained for participation & completion in said event, and have not been advised otherwise by a qualified medical person. I acknowledge that my statements on this form are being accepted by the sponsors, organizers and administrators in permitting me to participate in this event. In return for permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assign as follows A) WAVE, DISCHARGE AND AGREE NOT TO SUE from any and all liability for my death, disability, personal injury, property damage, property theft, or action of any kind which may hereafter accrue to me as result of my participation in, or my traveling to and from the UPSTATE SPLASH event. THE FOLLOWING PERSONS OR ENTITIES: Event sponsors, race directors, event producers, timers, event volunteers, and all cities, counties, districts and/or states in which said events may be staged or in which segments of said events may be run and its (their) officers, directors, employees, representatives and agents and volunteers; B) INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during the UPSTATE SPLASH event. I HEREBY CERTIFY THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER; I HAVE READ THIS DOCUMENT AND UNDERSTAND ITS CONTENTS. I am UNDER 18 years of age, my parents/legal guardian, has read and completed the waiver below. Parent/Legal Guardian HAS AGREED TO THIS RELEASE IF THE Entrant is under 18 years of age. MINIMUM AGE is 15 Year old, prior or on swim day. NOTE, IF THIS SECTION IS AGREED TO: YOU MUST ALSO READ AND AGREE TO THE PARENT/GUARDIAN WAIVER FOR A MINOR AND ITS CONSENT TO MEDICAL TREATMENT OF A MINOR. PARENT/GUARDIAN WAIVER FOR A MINOR -- IS ALSO AGREED TO AS THE FORMAL APPLICATION & RELEASE STATED ABOVE. BY THE AGREEMENT TO THIS RELEASE FOR A MINOR SWIMMER UNDER THE AGE OF 18 YEARS OLD, YOU ARE LEGALLY AGREEING THAT THE PARENT/GUARDIAN HAS AGREED TO ALL THE ABOVEAND FOLLOWING MATERIALS, AND PERFORMED THIS AGREEMENT AND PERMISSION FOR THE MINOR TO PARTICIPATE IN SAID SWIM. THE LEGAL Parent/Guardian OF RECORD, referred to as the parent and natural or legal guardian OF MINOR ENTRANT does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the each and all of the parties herein named on this form as releases from all liability, loss, cost, claim or damage whatsoever that may be imposed upon said releases because of any defect or lack of such capacity to so act and release said release on behalf of both of the undersigned. CONSENT TO MEDICAL TREATMENT OF A MINOR: I hereby authorize doctor, emergency medical technician, hospital, first responders or other medical facilities to treat said minor for the purpose of attempting to treat or relieve any injuries received by said minor while he/she was a participant or observer at the UPSTATE SPLASH. I authorize any licensed physician to perform any procedure which he/she deems advisable in attempting to treat or relieve any injuries or any unhealthy conditions of said that he/she may encounter during any necessary operation. I consent to the administration of anesthesia as deemed advisable by any licensed physician. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk on the behalf of myself and said minor. I acknowledge that no warranty is being made as to the results of any treatment. Should race officials determine that competing in this event would be injurious to my health, I consent to be removed for the course and treated by the physician in attendance or of their direction. I give my permission for free use of my name and picture in any broadcast, telecast, digital or written account of this event. I understand that the entry fee is non-refundable including the event of inclement weather or weather conditions, or if Coast Guard determines that the race cannot take place.
This event does not issue refunds or withdraws. Event entries are not transferable between persons, events or years.
In the event of inclement weather the event will be postponed in hopes the inclement weather will pass. If the inclement weather does not pass in time to complete the event safely in the original or modified format, the event will be cancelled.
Every effort will be made to hold this event on time on this date. Should this event be cancelled due to an Act of God or other circumstance beyond the race directors control there will be no refunds, credits, or transfers.
NO EXCEPTIONS will be made to this policy.
By registering for this event you agree to this weather policy.