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