2025 NEKOWSA Champion of Champions Challenge

Name(Required)

First Name Middle Initial Last Name

If you don’t have a middle name, please enter X in place of the middle initial.

Email(Required)

Enter Email Confirm Email

Phone(Required)

Gender Identity(Required)

Your T-Shirt Size(Required)

Date of Birth(Required)

Your Age at Time of Event(Required)

Please enter a number less than or equal to 110.

Address(Required)

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

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Youth Discounts

NEKOWSA offers a 50% youth discount. If the participant will be younger than 18 years old at the time of the event, please select the button below.

Participant is 18 or younger at time of event (50% discount)

Please provide a brief summary of your open water swimming experience(Required)

Name of your Yacker

Phone Number of your Yacker

Email of your Yacker

Champion of Champions Swim Registration (July 6, 2024)

Champion Champion ADULT Registration Fees July 6

Subtotal

$0.00

18 & Under Youth Discount (50%)

$0.00

Team Discount (20%)

$0.00

Total

Payment Method(Required)

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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