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Porta Swim Challenge

DATE:

SATURDAY MARCH 12, 2011.

Porta Pool Swim Challenge – the morning of Saturday, March 12th at the Porta High School Swimming Pool in Petersburg, IL . This will be a fundraising eventto benefit the activities and needs of the Porta (community) Swimming Pool. Participants will have the opportunity to swim ½ mile, 1 mile, or 2 miles in a 60 minute period (no awards will be given, BUT bragging rights will be encouraged.) More information to follow. Organizers: Rachel Frost (632-3216) and Therese Meyer-Cox (632-2338).

TIME:

Warm ups start at 8:30 a.m. Heat # 1 will begin at 9:00 a.m. You will be contacted the week of 3/07/11 and informed of your start time. You should arrive at the Pool at least 30 minutes prior to your start time. A warm up lane will be available.

PLACE:

PORTA Pool, 17651 Blue Jay Road, Petersburg, IL

PORTA High School is located on the west side of Petersburg. Turn west at the corner of Rt. 97 and Sheridan Road, proceed 3 blocks and continue up the hill; go 1 more block to the school entrance. Locker rooms are available for swimmers.

EVENT:

The Challenge Swim will be 3,300 yards or 132 lengths; 1650 yards or 66 lengths; and 850 yards or 34 lengths to slowest with two swimmers per lane.

Swimmers will be seeded fastest.

PLEASE RETURN LOWER PORTION WITH CHECK——————————————————

NAME________________________________________________________AGE on 3/07/11__________

ADDRESS_________________________________CITY________________STATE______ZIP__________

PHONE____________________________E-MAIL ADDRESS____________________________________

2 mile seeding time__________ 1 mile seeding time___________ 1/2 mile seeding time____________

[ ] Entry Fee $15.00 per event (Swimmers may choose to do the ½-mile swim as well as one of the longer swims for $20.00.)

*** This is a fundraiser for Pool safety improvements. Your support is greatly appreciated! ***

MAKE SURE YOU HAVE READ AND SIGNED THIS FORM! This is not a race—except against the clock. It is necessary to warn you that NO ONE should undertake this swim unless they are physically fit and sufficiently trained to participate safely. This involves yearly examinations by a physician and dedication to regular exercise. I understand this and consider myself an adult legally responsible for my actions and the results thereof. I

Signature of Swimmer_________________________________________________Date__________________________

Signature of Parent/Guardian (if swimmer is a minor)____________________________________Date__________________

Please sign the form and return along with check payable to PORTA Pool.

Mail to:

Rachel Frost, PORTA Pool
17651 Blue Jay Road
Petersburg, IL 62675

For more information, contact Rachel at 217-632-3216 or for myself, my executors, administrators, and assignees, do hereby release and discharge the Director and all sponsors for all claims of damages whatsoever arising out of my participation in the Challenge Swim.

NO AWARDS WILL BE GIVEN – BRAGGING RIGHTS ARE ENCOURAGED!!


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