2018/2019 - Rower Registration
ROCCS Rower Information Sheet
Rower's First Name: *
Your answer
Rowers Last Name: *
Your answer
Rower Cell:
Your answer
Rower E-Mail Address:
Your answer
Birthdate *
MM
/
DD
/
YYYY
School Attending
Your answer
Grade
Your answer
Height
Your answer
Weight
Your answer
Rower Adult Unisex T-shirt size:
Parent/Guardian(s)1 *
Your answer
Parent/Guardian(s)2
Your answer
Home Address *
Your answer
Home phone
Your answer
Parent 1 Cell: *
Your answer
Parent 1 Email Address: *
Your answer
Parent 2 Cell:
Your answer
Parent 2 Email Address
Your answer
If your rower has two households, please provide further information below:
Your answer
Name(s):
Your answer
Address:
Your answer
Home Phone:
Your answer
Cell Phone
Your answer
E-Mail Address:
Your answer
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