Online Entry Form

To be considered "Registered", you must also complete the waiver (click here).  Please print, date, and sign the waiver.  Mail the waiver with your check for $20 (payable to CanalFest - no rain date and no refunds) to the address listed on the waiver.  Thank you!

Please provide the following contact information:

First Name  
Last Name  
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail  

Please provide the following for the award categories:

Age On Race Day
Gender Male Female

Please select a shirt size:

M
L
XL

Escape From Fort Delaware - 1 Mile Open Water Swim

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