Broad Run Crew Registration Spring 2021
Rower Last Name *
Rower First Name *
Rower Birthdate (mm/dd/yy) *
Rower Cell Number *
Rower Email Address *
Rower Address *
Gender *
Grade *
Are you interested in being a coxswain? *
Preferred Rowing Side *
Would you be comfortable/interested in participating in boot camp sessions at PowerTrain during the winter season? PowerTrain membership information will follow in the coming weeks. PowerTrain membership and fees are managed through PowerTrain. *
Shirt Size (unisex) All rowers complete *
Women's Shirt Size (women rowers only)
Clear selection
Name of Parent/Guardian 1 *
Cell Number of Parent/Guardian 1 *
Email Address of Parent/Guardian 1 *
Name of Parent/Guardian 2
Cell Number of Parent/Guardian 2
Email Address of Parent/Guardian 2
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