The Westerly Recreation Department
and the Misquamicut Business Association present

THE 5TH ANNUAL
MISQUAMICUT BEACH SALTPOND CHALLENGE SWIM

To benefit the Chorus of Westerly and the "Johnny Beachcomber" Scholarship Fund of the MBA

When:Friday, August 4, 2006 at 6:30 pm (rain or shine)
Where:Winnapaug Saltpond, adjacent Misquamicut State Beach, Atlantic Avenue, Westerly, RI
Distance:1-Mile (½-mile out & ½-mile back)
Timing:Results posted at finish and published in newspaper.
Entry Fee:$15.00-Non Refundable - postmarked by 8/1/06 ...$20.00 day of the race
Caps:Please bring your own brightly colored swim cap-required. Wet suits allowed.
Awards:Award plaque for all finishers
Refreshments:Red Bull will be served.
Check In :5:00-5:45pm
Parking:Free at Misquamicut State Beach, west side
Safety:Due to uncertainty of weather conditions (e.g., lightning), lifeguards/event committee reserve the right to reschedule/alter the event to ensure safety of the participants.
Hotel Info:Caswell Cooke (401) 322-1026 www.misquamicut.org
Event Info: Please contact Paul Duffy (401)348-2597 or email: pduffy@westerly.org until August 2nd.

Directions:

FROM CT: I-95 to Exit 92. Take right at end of ramp (Rt 2). Follow to junction with Rt 78. Take Rt 78 to end, straight thru light (Intersect Rt 1). ***Continue straight for about 1.5 miles and make left at stop sign. Go straight thru first inter-section and left on Atlantic Ave. Use parking lot at Misquamicut State Beach (on right).

FROM RI: I-95 to Exit 1 (Rt 3). Take right at end of ramp and follow signs to Rt 78 (about 5 miles). Take left onto Rt 78 and follow to end. See above *** for the rest of directions.

MISQUAMICUT BEACH SALTPOND CHALLENGE ENTRY FORM

Name: ______________________________________

Sex: M F     Age(8/4/06):___________    Date of Birth ___ / ___ / ___

Address: _____________________________________ Phone # _______________________

City/State/Zip:__________________________________________________________________

WAIVER (Must be signed)
I understand that my participation in the Misquamicut Beach Saltpond Challenge swim involves risk of injury to myself, including the possibility of disabling injuries, heart attack, stroke or even death. I fully understanding the potential risks associated with participation, I voluntarily choose to take part in this swim event. I certify that to the best of my knowledge, I am physically fit and know of no reason why I cannot participate. In consideration of accepting my entry, I, the undersigned, intending to be legally bound, hereby waive and release any and all rights and claims for losses and damages that I may have against the Town of Westerly, Misquamicut Fire District, Lifeguards, Rhode Island DEM, Misquamicut Business Association, and any other organizations/persons connected with this swim event from any claim of damage or injury from my participation in, or traveling to the event.

Signature: __________________________________________ Date: ________

Signature of Parent: __________________________________________ Date: ________
Parent if under 18 years of age

Emergency Name and Phone # _____________________________________________


Mail entry form and check payable to MBA (Misquamicut Beach Association)
Salt Pond Challenge, c/o Westerly Recreation Department, 45 Broad Street, Westerly, RI 02891

Official use: ENTRY # ___________ Check # ___________ Check Amount ___________