Long Bridge Swim Registration Form

2.5 hour time limit for swim.

Registration Form
Long Bridge Swim, Aug. 2, 2008

Print this form and send to:
Long Bridge Swim
2023 Sandpoint West Dr.
Sandpoint, ID 83864

Early registration (Postmarked by June 21) - $16
Regular registration (Postmarked by July 12) - $20
Late registration - $25 (no guarantee of tee-shirt)
If no T-shirt is wanted subtract $5

Name: ________________________________________

E-mail address (we'll send you results)__________________________

Address: __________________________________________________________________

Phone: (____) ______________________Male ____Female ____Age as of 8-2-08 _____ _
Date of Birth _________

Fun and unusual information: (Swimming experience, teams/years, honors/accomplishments, obstacles overcome): __________________________________________________________________________________

__________________________________________________________________________________

Circle years you have participated in this swim 95 96 97 98 99 00 01 02 03 04 05 06 07

T-Shirts will be given out before event - please specify size: __ S __M __L __XL __XXL __XXXL
Youth __ S __M __L (XXL and XXXL $2 additional)

Additional T-shirts available for only $8, please indicate size & number. (XXL and XXXL $2 additional) $_____________

Total $_______________

Make checks payable to: Long Bridge Swim · 2023 Sandpoint West Dr., Sandpoint, ID 83864.

For more information or to share your ideas, please email or phone Eric Ridgway at 208-265-5412 .

Back to the Long Bridge Swim home page.
To the Long Bridge Swim rules and regulations.