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Payee information is required as many participants register more than themselves for our events.

 
 

Please choose number of participants you will be registering

Enter FIRST & LAST names, DATE OF BIRTH and GENDER for each participant.

Participant #1
Is this participant entering as an Elite Competitor?NoYes

Have you swam an under 20 minute mile within the last 12 months?NoYes

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For all participants please select the events they will participate in:

Participant Total
Participant #1
  Flowers Sea Swim   Walk & Watch   Walk & Watch T-Shirt  
Total Payment US$0.00
Donation Amount US$
Grand Total Payable US$0.00

Are all participants registered at the same address? YesNo

Please enter your address:

Are all participants emergency contact the same? YesNo

Please enter emergency contact details:

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If you are a parent / guardian of all entrants who are under the age of 18, please check this box and enter your name:

Total Payment US$

Donation Amount US$

Grand Total Payable US$

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