Junior Program Registration

FALL REGISTRATION OPENS MID-SUMMER

Parent/Guardian (P/G) Name

P/G Email

P/G Phone

2nd P/G Name

2nd P/G Email

2nd P/G Phone

Address

Rower's Name

Rower's Birth Date

Rower's Phone

Rower's Email

Additional Emergency Contact

Additional Emergency Phone

Anything else you want the coach to know?

Fall 2024 Youth - REGISTRATION OPENS MID-SUMMER

Fall Session

Running Total

$0.00

Coupon Code

Total

$0.00

Your registration is not complete until your payment is received and you have submitted your signed

Please print them out, sign them, photograph/scan them, and email the pictures to Jeremy Webb at [email protected].

Payer's Name

Payer's Email

Payer's Phone