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                         100x100 Sign Up
                            Date: Sunday January 3rd 2010
                                Time:  7.00am for a 7.15am start
                                Where: Weymouth Club 8 lane pool
                                Entry Fee: $30.00 make check payable to Caansports
                                Questions: Email Candy - cangle12@aol.com               
                                Details:
                   
            Space is limited based on your lane time.
                                Lane intervals:  1.30, 1.35,1.40, 1.45, 1.50, 1.55,
                                2 minutes.  There will be six people per lane
                                Space is limited and will be on a first come basis.
                                PowerGels and drink will be provided for the event.

                                The Weymouth Club will host our 100 x 100’s.
                                The club will open at 7 am and we will begin
                                swimming at 7:15.  Everyone will start at the
                                same time.  The event will last 2.5 to 5 hours.
                                We will provide food and refreshments, along with
                                raffle prizes afterwards.  Each participate will
                                receive a long sleeve tee shirt.

                                Mail entry to: Caansports 42 Rockway Ave 6B
                                Weymouth, MA 02188

                                Name:________________________

                                Email:________________________

                                Tee Shirt Size:  S  M  L  XL

                                Lane Seed Time_______________
                                (
as a guide you should get 12- 15sec min rest for all 100 x 100's)   

                                               Waiver
                            100x100 Swim at the Weymouth Club

             I hereby represent to CAAN Sports and Weymouth Club, its affiliated, shareholders, partners, officers, agents, servants, employees and representatives (collectively CAAN Sports) and Weymouth Club, that, I or my child am in good physical condition and am able to safely participate in CAAN Sports/Weymouth Club events.  I acknowledge that CAAN Sports and Weymouth Club urges every participant to have a medical check-up before participating in any CAAN Sports/Weymouth Club events.  I appreciate the danger of physical stress, strain or injury and assume whatever risk is involved as a result of my participation of the facilities, equipment or services of CAAN Sports and Weymouth Club.

                I hereby release and hold CAAN Sports and Weymouth Club harmless from and against any and all claims, liability, loss, damage, or injury sustained or incurred in connection with my use of the facilities, equipment or services of CAAN Sports/Weymouth Club, and waive any and all claims against CAAN Sports and Weymouth Club for any damage or liability resulting from or in connection with such use, excepting such damage which may be caused by CAAN Sports/Weymouth Club negligence.

                This release, waiver and consent shall be binding upon me and my heirs, legal representatives and assigns. 

Signature______________________         Date________  Print Name_________________________