Section 1 of 1
North District Open Water 2026
Entry Form
Entry Form
Please populate form below for entry to North District Open Water Championships 2026
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First Name
First Name
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Surname
Surname
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Registration Number
Registration Number
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Please enter "Temp" if a temporary membership is being applied for.
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Email Address
Email Address
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Telephone Number
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Address
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Post Code
Post Code
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Gender
Gender
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Female
Male
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Date of Birth
Date of Birth
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Club
Club
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Please enter "Temp" if a temporary membership is being applied for.
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Emergency Contact Name
Emergency Contact Name
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Emergency Contact Relationship to Entrant
Emergency Contact Relationship to Entrant
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Emergency Contact Telephone Number
Emergency Contact Telephone Number
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Entry Fees
Entry Fees
Senior Swimmers (17+)
One event - £25
Two Events - £42
Three Events - £55
Junior Swimmers (10 - 16)
One Event - £20
Two Events - £35
Three Events - £45
Team Time Trial Event - £25
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Event Entries
Event Entries
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Please select all events you wish to enter.
Competitors must be 10 years or over on the day of the event.
5 km (13 years and over)
500 metres (10-12 years)
3 km (13 years and over)
1.5 km (12 years and over)
Mixed Team Event (10 years and over, minimum of 2 Females)
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Payment
Payment
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All payments should be made to SASA North District by bank transfer.
Account Number: 00882011
Sort Code: 80-05-16
Reference should be, "OW26-surname of entrant".
Please provide payment made on date below. 13 July 2026
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Athletes Declaration
Athletes Declaration
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- I will abide by the S.A.S.A. Open Water Swimming Regulations.
- I am a registered competitor with the S.A.S.A., A.S.A., W.A.S.A. or other National Association or have submitted a temporary membership application form.
- I am not knowingly suffering from any disability or illness, which would render my participation in this championship inadvisable.
- I acknowledged that participation in this event is at my own risk and waive and release any and all claims for damages which I may have against S.A.S.A. North District for any injuries or illness and any lose of property resulting from my participation.
- Given the nature of the event, I am a sufficiently competent swimmer.
- I understand that in the event of my retirement during the race, safety crews will use all means necessary to assist me into the safety craft.
- If I am age 16 or under, I have parental / guardian consent to participate in the event.
- The information I have given on this entry form is correct.
- I understand that entry fees are not refundable.
- I acknowledge that this is a public event and upon entering, this may result in the recording and publication of my image. Images may be used on social media, websites and printed marketing materials and may also be shared with press and media.
I agree
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Medical Questionnaire
Medical Questionnaire
In order to enter you have to complete the medical questionnaire at North District Medical Questionnaire
Remember to return to this form to submit it.
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