form - Battle Creek YMCA

Adults
$40
$30
The 1.15 mile swim race begins at 8:30 a.m.
Participants in this event are required to attend a
mandatory pre-race meeting at 7:45 a.m. on race day.
(No wetsuits or bodysuits allowed.)
MICHIGAN’S LONGEST RUNNING LAKE SWIM
REGISTRATION
13–18 yrs
$40
$30
Athlete’s Signature
Under 18 years, parent must sign consent form.
participants. No wetsuits or bodysuits allowed.
750M COURSE
The 750M course swim race begins around 8:30 a.m. Participants
in this event are required to attend a mandatory pre-race meeting
at 7:45 a.m. on race day. (No wetsuits or bodysuits allowed.)
200-YARD SHORT COURSE (for kids 16 & under) Participants may
opt to swim the shorter beginner course (200 yards) to get a feel for
open water. This races begins at 8:00 a.m. Awards in this event are
for children 16 years and under only.
1.15 Mile Swim: $40
750M Swim: $30
200 Yard Kids Short Course (16 years & under): $15
FOR STAFF USE: Official #
Name
Phone ( )
In consideration of your accepting this entry form,
I hereby for myself, my heirs, my executors and
administrators waive and release all rights and claims
for any damages I may have against the Battle Creek
Family YMCA the sponsors of this event, it’s agents,
representatives, successors and assigns for any and all
injuries suffered by me at said Marathon or which may
arise out of traveling to, participating in and returning
to these events.
TheAge
1.15
mile swim race begins
8:30
in
Group:
Adultsaround
13–18
yrs a.m.
12 yrs &Participants
under
Course:
$15
thisLong
event
are required to attend
pre-race meeting atNOTE: There is a mandatory pre-race meeting
$40 a mandatory
$40
Short
$30
7:45750M
a.m.
onCourse:
race day. (No wetsuits
or$30
bodysuits
$15 allowed.)
at 7:45 a.m. on race day for all long course
Athlete’s Signature
Under 18 years, parent must sign consent form.
FOR STAFF USE: Official #
Name
Phone ( )
Last day to receive registrations at the YMCA is 7/15/16 at noon. You may register
dayMILE
of the event
at lake. Late registration (after 7/15/16): Add $10
1.15
COURSE
Challenge yourself!
Sex: ❏ M ❏ F
)
/
Sex: ❏ M ❏ F
)
/
In consideration of your accepting this entry form,
I hereby for myself, my heirs, my executors and
administrators waive and release all rights and claims
for any damages I may have against the Battle Creek
Family YMCA the sponsors of this event, it’s agents,
representatives, successors and assigns for any and all
injuries suffered by me at said Marathon or which may
arise out of traveling to, participating in and returning
to these events.
/
Phone (
Date of Birth
/
ZIP
Phone (
To help you prepare for the Goguac Lake Swim, the YMCA
offers you a free 7-Week Training Schedule. It is available
now on the pool deck at the Battle Creek YMCA.
Challenge yourself!
• Race begins at Willard Beach (a public park) on the
south side of Battle Creek
• Free parking is available
Y Center
Creek - Goguac Lake Swim: July 16, 2016
•Family
Check-in
beginsof
at Battle
7:00 a.m.
person or by are
mailrequired
with cash,to
check
or credit
card.
•Register
Eventinparticipants
attend
a mandatory
Participants
pay at
timea.m.
of registration.
Please include this form.
pre-race must
meeting
atthe
7:45
on race day.
•Name
200-yard
short course event begins at 8:00 a.m.
of Entrant
•Address
750M and 1.15 mile to follow respectively
$15
ZIP
NOTE: There is a mandatory pre-race meeting
at 7:45 a.m. on race day for all long course
participants. No wetsuits or bodysuits allowed.
AVAILABLE NOW
RACE DAY INFORMATION
200Y Kids Swim:
Date of Birth
7-WEEK TRAINING SCHEDULE
please call Rebecca Lillie (269) 963-9622, ext.130.
Age
Age
16 YEARS & UNDER $15
LATE REGISTRATION (after 7/17/15) add $10
•
• You may register the day of the event at Willard Beach
VOLUNTEERS
NEEDED!
(a $10
late fee will be added)
If you are interested in volunteering for this fun event
State
12 yrs & under
$15
Participants may opt to swim the shorter beginner course
(200 yards) to get a feel for open water. This races begins
at 8:00 a.m. Awards in this event are for children 16 years
and under only.
REGISTRATION
E-mail
$15
$15
200-YARD SHORT COURSE (for kids 16 & under)
• Check-in begins at 7:00 a.m.
• 1.15 mile event participants are required to attend
a mandatory pre-race meeting at 7:45 a.m.
Now through
Friday, July 14, 2017 at noon
on race day.
City
State
ADULTS $35
13-18 YEARS $25
12 YEARS & UNDER $15
FAMILY RATE $70 (Must be immediate family. Can be long
or short course. Each family member must fill out form.)
LATE REGISTRATION (after 7/17/15) add $10
• Monday, May 18, 2015 – Friday, July 17 at noon
The Battle
YMCA
presents
the 89th
• You Creek
may register
the proudly
day of the event
at Willard
BeachSwim
(a $10which
late feewill
willtake
be added)
Goguac Lake
place at Goguac Lake
(Willard Beach). Participants will swim 1.15 miles or
our new
750MDAY
shortINFORMATION
course in open water, with times
RACE
being recorded
for
overall
and (a
age
bracket
• Race begins at Willard Beach
public
park) onwinners.
the
side
of event
Battle Creek
Proceedssouth
from
the
will go to help teach kids to
200-yard short course event begins at 8:00 a.m.
swim in•• our
local YMCA “Begin to Swim Program.”
Free parking is available
Family Y Center of Battle Creek - Goguac Lake Swim: July 15, 2017
1.15 MILE COURSE
Register in person or by mail with cash, check or credit card.
Participants must pay at the time of registration. Please include this form.
The Battle Creek YMCA proudly present the 88th Goguac
Lake Swim which will take place at Goguac Lake (Willard
Beach). Participants will swim 1.15 miles in open water, with
times being recorded for overall and age bracket winners.
Proceeds from the event will go to help teach kids to swim in
our local YMCA “Begin to Swim Program”.
Name of Entrant
Address
City
E-mail
Last day to receive registrations at the YMCA is 7/14/17 at noon. You may register
day of the event at lake. Late registration (after 7/14/17): Add $10
Age Group:
Long Course:
750M Short Course:
200Y Kids Swim:
90TH ANNUAL