Broad Run Crew Registration Spring 2020
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 *
Are you participating in winter conditioning at Power Train? *
Are you participating in winter erg/conditioning at BRHS? *
Shirt Size (unisex) All rowers complete *
Women's Shirt Size (women rowers only)
Clear selection
Name of Parent 1 *
Cell Number of Parent 1 *
Email Address of Parent 1 *
Name of Parent 2
Cell Number of Parent 2
Email Address of Parent 2
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