Agecroft Membership Form
YOU SHOULD ONLY COMPLETE THIS FORM ONCE YOU HAVE MADE CONTACT WITH EITHER YOUR NEW SQUAD CAPTAIN OR THE LEARN TO ROW LEADER. EMAIL ROW4AGECROFT@GMAIL.COM IF YOU NEED TO FIND OUT WHO TO SPEAK TO.
First Name *
Your answer
Surname *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Age *
Your answer
Gender *
Mobile number *
Your answer
Other phone number
Your answer
House number & Street name *
Your answer
Town *
Your answer
Postcode *
Your answer
Email *
Your answer
British Rowing (ARA) membership number
Please provide if you are already a member
Your answer
The squad I will be joining is: *
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