WBC Middle School Winter Training Signup
Sign up form for 2019-2020 WBC Middle School Winter Training
Rower Last Name *
Your answer
Rower First Name *
Your answer
Rower Email Address
Your answer
Rower Mobile Number
Your answer
Rower Birthday (month/day/year): Make sure to change the YEAR *
MM
/
DD
/
YYYY
Rower Mailing Address *
Your answer
Primary Parent (Emergency Contact) Last, First Name *
Your answer
Primary Parent (Emergency Contact) Mobile Number *
Your answer
Primary Parent Email Address *
Your answer
Secondary Parent Last, First Name
Your answer
Secondary Parent Mobile Number
Your answer
Secondary Parent Email Address
Your answer
Middle School Attending (or zoned for) *
Are you interested in Car Pool? NOTE: We do not guarantee carpooling; we will only help put you in contact with others that want to carpool. *
Required
Medical Considerations (allergies/asthma)
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Anything Else You Need to Tell Us?
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