2026 Waterman Eco-Challenge Ocean Swim - Swim Coach/Instructor Attestation Form

2026 Waterman Eco-Challenge Ocean Swim

Swim Coach/Instructor Attestation
Swim Coach's or Instructor’s Name
Swim Team Name (or Facility or Company Name if relevant)
Coach's or Instructor’s Title, if relevant
Coach's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Coach's Email
example@example.com
Swimmer's Name
Swimmer's Age as of December 31, 2026
Swim Race Distance & Time Limit
I hereby affirm that I am familiar with the above-named individual's swimming ability and, in my estimation, this swimmer is capable of safely completing the selected open water race distance within the event’s required time limits.
Additional Comments
Please type any additional comments that support, qualify, or add context to your swimmer endorsement.
Coach's Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please submit this form promptly or before event entries close at the latest. Feel free to direct any questions to douglas.sayles@swimri.org or (401) 633-5756.
Should be Empty: