Swimmer Application

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Swimmer Application

Email *

First Name *

Last Name *

Email Address *

Phone Number *

Please list session # you could do or alternative dates you are available.
*

Age as of 1st event day? *

Gender *

Male

Female

Non-binary

Address (include city and state)
*

Name of Emergency Contact (cannot be the swimmer)
*

Emergency Contact Phone Number *

My 1500 meter / 1650 yard pool, swim time range at time of application. *

I swim regularly with a masters program *

Yes

All of my open water swims/distance/time within the last 12 months- This is critical to match swimmers

I understand this is a non-wetsuit series of swims. *

Yes

I understand the fee is non-refundable and not transferable to another swimmer or a following swim year. *

Yes

I am aware of my health and had the opportunity to be examined to certify I am medically fit to swim the 'AU I NĀ MOKUPUNI 'EKOLU MAUI NUI SWIM. *

Yes

Is there anything you want the review committee to know about your application?

I understand the following cut off times for swims: 8 hours or darkness. *

Yes

I understand this is a group event and I must swim within 50 meters of another swimmer and the escort vessel at all times. *

Yes

I understand that I must individually comply with the Hawaiian Channel Swimming Association's rules. *

Yes

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