Rotorua Rowing Club Membership Application
Rower Group *
Full Name *
Your answer
Mobile
Your answer
Rower Email
Your answer
Parent Email/Second Email *
Your answer
Parent Name
Your answer
Address
Your answer
Suburb
Your answer
City
Your answer
Post code
Your answer
Other Contact Details
Rower Work Phone
Your answer
Home Phone
Your answer
Parent Mobile *
Or Alternate Contact if Over 18
Your answer
Parent Work Phone
Your answer
Other Details
Date of Birth
MM
/
DD
/
YYYY
Occupation - Rower
Your answer
Previous Rowing History
Your answer
School Attending
Your answer
Current rowing Status
Can You Swim 50m?
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