Junior Ocean Swim (JOS) Individual Entry Form

Sunday 4 December 2022

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The Junior Ocean Swim organisers strongly recommend that only competent swimmers enter this event and that you select a distance appropriate for your skills and fitness level. All participants in the Junior Ocean Swim enter at their own risk and should have undertaken sufficient training to complete the relevant distance.

The swim is subject to weather conditions on the day and if it cannot go ahead, there will be no re-run of the event and entries are not refundable. The proceeds of the swim are donated to Bronte Surf Life Saving Club.

Ensure you have read, understood, accept and agree to abide by the 2022 Macquarie Bondi to Bronte Swim Terms and Conditions of Entry PRIOR to entering into the swim.

Please note that all form information is required and must be completed accurately in case of an emergency during the event or if we need to contact you.

* Please complete the form promptly to ensure it doesn't timeout when submitted. If using Internet Explorer, use version 10 or higher.

NOTE: You cannot use the same email address for multiple entries. We require a separate, unique email address for each swimmer.

Choose Event

400m JOS - U9 to U13 ($10) 800m JOS - U11 to U13 ONLY ($10)

Swimmers Details

Title* -- Please select -- MISS MR MRS MS DR

First Name*

Last Name*

Address*

Suburb*

State* -- Please select -- NSW QLD ACT VIC SA WA NT TAS Other - International

Postcode*

Country* -- Select Country -- AFGHANISTAN ALAND ISLANDS ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO COOK ISLANDS COSTA RICA CÔTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD/MCDONALD ISLANDS HOLY SEE HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT BARTHÉLEMY SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA/SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN TAJIKISTAN TANZANIA THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE

Email Address*

Confirm Email Address* Email address and its confirmation do not match Please note that we require a separate, unique email address for each swimmer's entry to ensure there are no issues with your registration on the day.

Mobile Number*

Gender* -- Please select -- Male Female Not Specified You will be contacted to determine your preferred entry wave.

Date of Birth*

Age on Event Date* -- Please select -- 8 9 10 11 12 13

Entry Category Select one Nipper Age Group you will compete in*

Current Nipper Age Group U9 years U10 years U11 years U12 years U13 years

Surf Club Name

Which Surf Life Saving Club are you a member of?*

Medical Details

Do you have any medical condition that the event organisers should be aware of?* -- Please select -- Yes No Please enter details of your medical condition(s):

Are you currently taking medication that the event organisers should be aware of?* -- Please select -- Yes No Please enter details of your medication you are currently taking:

Emergency Contact Details

Emergency Contact Person*

Relationship* -- Please select -- Family Member Friend Partner Other

Mobile Number*

Agree to Terms and Conditions U18 Parent/Guardian Approval To be completed by the parent/guardian of the competing child. The minimum age of swimmer permitted to swim in this event is 8 years old -

I certify that I am the parent/guardian of the above-named and I have read, understood, accept and agree to abide by the 2022 Macquarie Bondi to Bronte Swim Terms and Conditions of Entry. I acknowledge that the above-named will also be bound by the 2022 Macquarie Bondi to Bronte Swim Terms and Conditions of Entry and Policies and Procedures.*

I am confident of the ability of the above-named to prepare for and participate in the 2022 Junior Ocean Swim, and give consent to their entry in the 2022 Junior Ocean Swim.*

I acknowledge that the above-named’s preparation for and participation in the Junior Ocean Swim is the subject of a “risk warning” for the purposes of Section 5M of the Civil Liability Act 2002 (NSW) described in the 2022 Macquarie Bondi to Bronte Swim Terms and Conditions of Entry.*

I understand and agree that the event will be conducted in line with Public Health Authority directives in place at the time. This may include a requirement to be fully vaccinated against Covid-19 and to show proof of vaccination.*

Participants under the age of 18 and their Parents/Guardians are required to confirm that they have read and understood the 2022 Macquarie Bondi to Bronte Swim Terms and Conditions of Entry and agree to abide by them. Type Swimmers Full Name as proof that the Swimmer and their Parent/Guardian agrees to the Terms of the Swim*

Parent/Guardian Full Name

Parent/Guardian Address

Parent/Guardian Phone Number (inc. area code if home phone)

Would you like to receive product information from Bronte Surf Club and the B2B event partners?* -- Please select -- Yes No

Would you like more information about fundraising for The Kids’ Cancer Project Junior Ocean Swim swim.* -- Please select -- Yes No

How did you hear about JOS?* -- Please select -- Entered previously B2B Newsletter B2B Instagram B2B Facebook Oceanswims Website or Newsletter Friend Swim Group / Coach Sydney Harbour Splash Other If Other, please specify

Payment

Would you like to make a donation to The Kids’ Cancer Project to help fund childhood cancer research? Simply fill out the amount you would like to donate below with a decimal point and it will be added to your entry fee.

Discount Code (sponsors only)

Payment Type Credit Card Free Payment

Total Amount

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