{{ 'SHOW_CART' | translate }} >

{{total | currency:"$"}}

{{::eventInfo.eventName}}

{{::eventInfo.when}}
{{::eventInfo.where}}

{{::eventInfo.description}}

{{ 'COUPON-APPLIED' | translate }}

{{ 'INVALID-COUPON' | translate }}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'COUPON-APPLIED' | translate }}

{{ 'INVALID-SECONDARY-COUPON' | translate }}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'FIRST-NAME' | translate}}

{{ 'REQUIRED' | translate }}

{{ 'IDENT.NAME_CHARS_LONG' | translate}}

{{ 'LAST-NAME' | translate}}

{{ 'REQUIRED' | translate }}

{{ 'IDENT.NAME_CHARS_LONG' | translate}}

{{ 'BIRTH-DATE' | translate}}

{{ 'IDENT.RACE_AGE_BETWEEN' | translate:regOptionAgeTranslate }}

{{ 'IDENT.SERIES_RACE_AGE_ERROR' | translate }}

{{ 'REQUIRED' | translate }}

{{'REQUIRED_DATE_FORMAT' | translate:'{format: eventInfo.displayDateFormat}' }}

{{ 'GENDER' | translate}}

{{ 'REG-OPTION-GENDER-ERROR' | translate}}

{{ 'PRIMARY-PHONE' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

{{ 'NOT-VALID-PHONE-NUMBER' | translate}}

{{ 'EMAIL' | translate}}

{{ 'EMAIL-CONFIRM' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'SAME-EMAIL' | translate}}

{{ 'PARTICIPANT-CONDITION' | translate}}

GCBS 4.4 MILE SWIM &  1 Mile Bay Challenge --Indemnity & Release:

 I acknowledge that THE GREAT CHESAPEAKE BAY SWIM is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury and property loss.  I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT.  I certify that I am physically fit, have sufficiently trained for participation & completion in said event, and have not been advised otherwise by a qualified medical person.  I acknowledge that my statements on this form are being accepted by the sponsors, organizers and administrators in permitting me to participate in this event

In return for permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assign as follows A) WAVE, DISCHARGE AND AGREE NOT TO SUE from any and all liability for my death, disability, personal injury, property damage, property theft, or action of any kind which may hereafter accrue to me as result of my participation in, or my traveling to and from the GCBS event.  THE FOLLOWING PERSONS OR ENTITIES: Event sponsors, race directors, event producers, timers: LIN-MARK Computer Sports, Inc., event volunteers, and all cities, counties, districts and/or states in which said events may be staged or in which segments of said events may be run and its (their) officers, directors, employees, representatives and agents and volunteers; B) INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during the GCBS event. 
        I HEREBY CERTIFY THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER; I HAVE READ THIS DOCUMENT AND UNDERSTAND ITS CONTENTS.
         I am UNDER 18 years of age, my parents/legal guardian, has read and completed the waiver below.  
 
 Parent/Legal Guardian HAS AGREED TO THIS RELEASE IF THE Entrant is under 18 years of age.  
MINIMUM AGE is 15 Year old, prior or on swim day

 
NOTE, IF THIS SECTION IS AGREED TO: 
YOU MUST ALSO READ AND AGREE TO THE PARENT/GUARDIAN WAIVER FOR A MINOR AND ITS CONSENT TO MEDICAL TREATMENT OF A MINOR
PARENT/GUARDIAN WAIVER FOR A MINOR -- IS ALSO AGREED TO AS THE FORMAL APPLICATION & RELEASE STATED ABOVE. 

BY THE AGREEMENT TO THIS RELEASE FOR A MINOR SWIMMER UNDER THE AGE OF 18 YEARS OLD, YOU ARE LEGALLY AGREEING THAT THE PARENT/GUARDIAN HAS AGREED TO ALL THE ABOVE AND FOLLOWING MATERIALS,  AND PERFORMED THIS AGREEMENT AND PERMISSION FOR THE MINOR TO PARTICIPATE IN SAID SWIM. 
 

THE LEGAL Parent/Guardian OF RECORD,  referred to as the parent and natural or legal guardian of OF MINOR ENTRANT does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the each and all of the parties herein named on this form as releases from all liability, loss, cost, claim or damage whatsoever that may be imposed upon said releases because of any defect or lack of such capacity to so act and release said release on behalf of both of the undersigned
CONSENT TO MEDICAL TREATMENT OF A MINOR:  I hereby authorize doctor, emergency medical technician, hospital or other medical facility to treat said minor for the purpose of attempting to treat or relieve any injuries received by said minor while he/she was a participant or observer at The Great Chesapeake Bay Swim.  I authorize any licensed physician to perform any procedure which he/she deems advisable in attempting to treat or relieve any injuries or any unhealthy conditions of said that he/she may encounter during any necessary operation.  I consent to the administration of anesthesia as deemed advisable by any licensed physician.  I realize and appreciate that there is a possibility of complications and unforeseen consequences in any  medical treatment, and I assume any such risk on the behalf of myself and said minor.  I acknowledge that no warranty is being made as to the results of any treatment

I ADDITIONALLY ACKNOWLEDGE AND AGREE THAT IN THE EVENT THAT THE 2017 GCBS IS CANCELLED FOR ANY REASON THAT THERE ARE NO REFUNDS, CREDITS OR TRANSFERS OF MY ENTRY FEE - I KNOWINGLY ASSUME THIS RISK WHEN ENTERING THIS EVENT.

BY ELECTRONCIALLY "SUBMITTING THIS RELEASE & WAIVER AS AGREED" -- I HEREBY HAVE AGREED TO ALL DETAILS AS STATED IN THIS WAIVER & RELEASE.

{{ 'MUST-AGREE' | translate}}

I ADDITIONALLY ACKNOWLEDGE AND AGREE THAT IN THE EVENT THAT THE 2017 GCBS IS CANCELLED FOR ANY REASON THAT THERE ARE NO REFUNDS, CREDITS OR TRANSFERS OF MY ENTRY FEE - I KNOWINGLY ASSUME THIS RISK WHEN ENTERING THIS EVENT.

{{ 'MUST-AGREE' | translate}}

{{ 'MUST-AGREE' | translate}}

{{ 'MUST-AGREE' | translate}}

{{ 'COUNTRY' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STREET' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STREET_2' | translate}}

{{ 'POSTAL-CODE' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}} {{ 'VALID-ZIP' | translate}}

{{ 'CITY' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STATE/REGION' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

Select a Size From The Choices Listed Above.

Please Consider Making a Donation to the Organizations and Charities That the Bay Swim Supports -All 501 C Tax Deductible Groups

{{'VALUE_SHORTER_THAN' | translate:'{char: "20"}' }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{'VALUE_SHORTER_THAN' | translate:'{char: "20"}' }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{'VALUE_SHORTER_THAN' | translate:'{char: "20"}' }}

{{ 'REQUIRED' | translate }}

{{'VALUE_SHORTER_THAN' | translate:'{char: "25"}' }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{'VALUE_SHORTER_THAN' | translate:'{char: "10"}' }}
{{'VALUE_SHORTER_THAN' | translate:'{char: "10"}' }}
{{'VALUE_SHORTER_THAN' | translate:'{char: "10"}' }}

{{ !gigyaLoaded() ? 'GET-ATHLETE-UPDATE-MOBILE' : 'GET-ATHLETE-UPDATE' | translate}}

{{ !gigyaLoaded() ? 'MOBILE-DELIVER' : 'FACEBOOK-DELIVER' | translate}}

{{ 'CORRECT_ERRORS_FOR_ENTRY' | translate }}

{{ 'COMPLETE_REGISTRATION_FOR_ENTRIES' | translate}}

{{entry.name | translateIf:entry.translate}}

{{ 'EDIT' | translate }} (errors)

{{item.name | translateIf:item.translate}} :

{{item.price | currency:"$":currency.decimal}}
{{ 'SUBTOTAL' | translate}} : {{cart.subtotal | currency:"$":currency.decimal}}
{{customFee.description}} : {{customFee.price | currency:"$":currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.fee | currency:"$":currency.decimal}}
{{!cart.hasLottery ? ('TOTAL'|translate) : ('TOTAL_CHARGE_AT_CHECKOUT'|translate)}} : {{cart.total | currency:"$": currency.decimal}}

{{item.name | translateIf:item.translate}} :

{{item.price | currency:"$":currency.decimal}}
{{ 'SUBTOTAL' | translate}} : {{cart.subtotalLottery | currency:"$": currency.decimal}}
{{customFee.description}} : {{customFee.price | currency:"$": currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.lotteryFee | currency:"$": currency.decimal}}
{{ 'TOTAL_CHARGE_IF_SELECTED' | translate}} : {{cart.lotteryTotal | currency:"$": currency.decimal}}
{{ 'IF_SELECTED_CHECKOUT' | translate:cart}}

{{ 'PAYMENT-ERROR' | translate}}

{{paymentErrors.message}}

  • {{error}}
{{ 'NO-PAYMENT-REQUIRED' | translate }}

{{ 'NAME-ON-CARD' | translate }}

{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-CREDIT-CARD-NUMBER' | translate }}

{{ 'EXPIRATION' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-EXPIRATION-DATE' | translate }}

{{ 'SECURITY-CODE' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-SECURITY-CODE' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'PAYMENT-INFORMATION-MESSAGE' | translate }}



{{crowdriseTeam.entryName}} Charity Event Fundraising on Crowdrise

{{crowdriseTeam.entryName}}: {{crowdriseTeam.msg}} (Crowdrise error)

The internet browser you are using to access this registration form is not supported. Please upgrade your browser or register on your mobile device.
Scan this QR Code with your mobile device to load the mobile registration form.
Event registration link