Middle School Fall Registration

Athlete Name*
First Last
Date of Birth*
Month
Day
Year
Athlete Email*
Enter Email Confirm Email
Athlete's School
Year In School

Example 6th, 7th, 8th
Program*
Confirm you are registering for the Middle School Fall Rowing Program - NO EXPERIENCE NECESSARY
Class Options
Preferred Days - Middle School
- Tuesday
- Wednesday
- Thursday
- Friday
For Middle School Spring Rowing, choose which two days or three-day options you prefer. Any day combination is permitted. Classes are all 3:30-5:30
Multiple House Holds*
- Yes
- No
Primary Parent / Guardian Name*
First Last
Primary Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Parent Email*
Enter Email Confirm Email
Secondary Parent / Guardian Name
First Last
Secondary Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Emergency Contact*
Name Phone Number

Phone numbers and order in which we should try to call in an emergency.

Name	Phone Number