ATTACHMENT B FORM FOR APPLICATIONAPPLICATION FOR RECORDING A MARATHON SWIMINTERNATIONAL MARATHON SWIMMING HALL OF FAMEAT THEINTERNATIONAL SWIMMING HALL OF FAMEONE HALL OF FAME DRIVEFT. LAUDERDALE FL 33316TO: Dale Petranech, SecretaryInternational Marathon Swimming Hall of Fame23 Pine AvenueHammonton NJ 08037E Mail DPETRANECH @AOL.COM Telephone 1-609 561 1878I would like to register and record my swim with the International Swimming Hall of Fame.
Date of Application Date(s) of Swim
BIOGRAPHICAL INFORMATION
Name
____________
Date of Birth Sex
_______________
Home AddressNationality Telephone FAXE Mail Height Weight before swim after
SWIM INFORMATION ON BODY OF WATER
Name of body of water From: _____________________________ To Distance Kms/Miles
( GPS Readings, Land Mass, Cities, Countries etc)
Water Temperature___________ Start Time__________ Finish Time Total Time
Describe water and other factors affecting swim
i.e. Swim with or against currents and tides? Speed of water. Calm seas or heavy surf. Wind with/against swimmers? Escort craft used. Other factors that assist or hinder the swim.
Describe feeding during swim
. What is taken for nourishment? How often? Length of feeding break. Etc.
1
ATTACHMENT B FORM FOR APPLICATION
Please answer following questions:
1. Did swimmer wear a wet suit?2. Did swimmer wear a neoprene headgear?3. Did swimmer use hand paddles, fins or other items to increase propulsion?4. Did you use grease? Lanolin, Vaseline or other, entire body or just arm pits/groin? Yes ( ) No ( )Explain in detail all yes answers:
5. Did swimmer use a shark cage? No ( ). If yes describe cage including the dimensions and method of propulsion and the physical location of the cage. Was protective mesh for jellyfish used?Please include any other information and explain any other deviations from the English Channel rules thatwill help document and explain the uniqueness of your swim.The swim was conducted under the traditional rules of the Channel Swimming Association..
IF THE SWIM IS A RELAY PLEASE LIST OF THE MEMBERS OF THE TEAM:1.
___________________________
2.
3.
4.
5.
6.
.
Please provide contact information of the following:Position Name Contact Information (Phone/E-mail)
Swimmer Coach/Trainer/EscortEscort Craft CaptainSupport Crew Member Witness
IF A SWIM ISA SOLO OR RELAY STAGE (INCREMENTAL) SWIM PLEASE COMPLETE THE SUPPLEMENTAL INFORMATION ATTACHMENT D.
If there is insufficient space, please use additional sheets. We will accept other documentationthat includes the same basic information as indicated above in lieu of theformal application.I affirm that the statements made above are true to the best of my knowledge.2
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International Marathon Swimming Hall of Fame Form for Recording a Marathon Swim
A form to record a marathon swim with the International Marathon Swimming Hall of Fame.
For more information on open water swimming, visit
http://www.openwatersource.com
http://www.imshof.org
http://www.dailynewsofopenwaterswimming.com
For more information on open water swimming, visit
http://www.openwatersource.com
http://www.imshof.org
http://www.dailynewsofopenwaterswimming.com
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