Barrie Rowing Club Registration Form & Waivers- 2022/23
Barrie Rowing Club                              barrierowing@gmail.com
P.O. Box 29001                                     www.barrierowing.org
Barrie, ON L4N 7W7

A COMPLETED AND SIGNED FORM IS REQUIRED FROM EACH PARTICIPANT BEFORE THE START OF EACH PROGRAM.
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Email *
Name of participant *
Participant's email *
Address: *
City: *
Postal Code: *
Phone number: *
Date of Birth *
month/day/year
MM
/
DD
/
YYYY
Gender: *
If applicable, please list any health concerns that the rowing club should be aware of while you are participating in rowing club programs:
EMERGENCY CONTACT: Please give the name of someone we should contact: *
Emergency Contact : Phone number *
Emergency Contact: Relationship to participant/member *
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