2024 Memphremagog Winter Swim Festival Registration

Name(Required)

First Last

Gender

Age(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

T-Shirt Size(Required)

Please describe your cold water swimming experience(Required)

Base Fee (Hidden)

Friday, February 23rd 2024

200 Meter Free Style

25 Meter Hat Competition

Saturday, February 24th, 2024

25 Meter Free

50 Meter Free

25 Meter Breast

Sunday, February 25th, 2024

25 Meter Fly

100 Meter Free

25 x 4 Relay (Virgins Only)

50 x 4 Relay

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total