8 Bridges | Hudson River Swim

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First Name:*

Last Name:*

E-Mail Address:*

Cell phone #*

Home phone #

Gender*

F M

T-shirt size*

Sm M L XL XXL

Check the stages you would like to partipate in.

Stage 1. Saturday June 15 Rip Van Winkle Bridge to Kingston Rhinecliff Bridge (18.3 mi)

Stage 2. Sunday June 16 Kingston Rhinecliff Bridge to Mid-Hudson Bridge (19.8 miles)

Stage 3. Monday June 17 Mid-Hudson Bridge to Newburgh Beacon Bridge (13.2 miles)

Stage 4. Tuesday June 18 Newburgh Beacon Bridge to Bear Mountain Bridge (15.2 miles)

Stage 5. Thursday June 20 Bear Mountain Bridge to Tappan Zee Bridge (19.8 miles)

Stage 6. Friday June 21 Tappan Zee Bridge to George Washington Bridge (15.7 miles)

Stage 7. Saturday June 22 George Washington Bridge to Verrazano Narrows Bridge (18.6 miles)

Address: Street, City, State, Zip*

What type of kayak will you be using (e.g., Sea, sit on top etc.)?*

Do you have transportation for you and your kayak?*

Do you have swimmer escort experience? Please list.*

Are you a life guard, paramedic or do you have first aid certification? Please list*

Emergency contact name*

Emergency contact number*

List medical conditions, allergies, medications*

In case of bad weather delays are you available for the proposed rain dates?*

Comments, questions, requests (e.g., are you applying with a friend you'd like to carpool with)

Liability Release:

As a condition of kayaking in the 8 Bridges Hudson River Swim, I agree I will attend the mandatory briefing each morning before the start of each stage and abide by event rules and regulations including water safety determinations. I agree to hold harmless by acknowledging and assuming the risks involved in an endurance activity of this nature and for myself and heirs waive all claims for damages or injury arising during the event against any individual, group, association, agency or government body involved with this activity’s organization, conduct, and/or support. I, the undersigned participant, intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of the risks inherent in Open Water Swimming (training and competition), including possible permanent disability or death, and agree to assume all of those risks. I HEREBY WAIVE ANY AND ALL RIGHTS TO CLAIMS FOR LOSS OR DAMAGES CAUSED BY NEGLIGENCE, ACTIVE OR PASSIVE OF THE FOLLOWING: HOST FACILITIES, CIBBOWS, EVENT SPONSORS, EVENT COMMITTEES, VOLUNTEERS, OR ANY INDIVIDUALS OFFICIATING OR SUPERVISING THIS EVENT. Finally, I specifically acknowledge that I am aware of all the risks inherent in Open Water Swimming and agree to assume those risks.

Please agree to the liability release*

I agree I disagree