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Juniors Rowing Registration

Registration Form

* Indicates required field

Rower Name *

First

Last

Rower Cell Phone *

Rower email *

Gender *

Boy Girl

Rower Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of High School *

Birthday (mm/dd/yyyy) *

Graduation Year *

Parent/Guardian Information (info used for club emails and updates)

Parent/Guardian - Main Contact - USED FOR NAMETAG *

First

Last

[object Object]

Cell Phone *

Email *

Parent/Guardian 2 - NEEDED FOR NAMETAG *

First

Last

Indicate N/A if there is not a second parent/guardian

Cell Phone *

Email *

Your child's rowing experience *

No experience, never been in a boat before Completed a learn-to-row program Rowed with another club Returning ACRC rower Other

I have read and reviewed with my athlete the ACRC Code of Conduct. (see link)) *

YES

If you need additional name tags for step-parents or guardians please list names below *

I have read and agree to the ACRC refund policy. (see link) *

YES

We would like to know how you heard about us and any other comments you may have. *

CONSENT: In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for the administration of treatment deemed necessary by a licensed physician or dentist and/or the transfer of my athlete to any reasonably accessible hospital. *

YES

I AFFIRM THAT MY ROWER HAS VIEWED THE U.S.ROWING SAFETY VIDEO (see link) *

YES

Submit

Fees - $350 w/erg; $200 w/o erg
click here for more info