MCYR 2018-2019 Rowing Season Registration
Registration form for Middle School and High School Athletes
Athlete Information
Athlete Legal Last Name *
Your answer
Athlete Legal First Name *
Your answer
Athlete Nick Name
Your answer
Athlete Email
Your answer
Athlete Date of Birth *
MM
/
DD
/
YYYY
Athlete Cell Phone *
Your answer
Athlete Home Phone *
Your answer
Athlete School *
Your answer
Athlete Grade *
Your answer
Athlete Gender *
Returning Team Member *
Did you row in the fall or spring season last year
Required
Primary Parent/Guardian Information:
Primary Parent Last Name *
Your answer
Primary Parent First Name *
Your answer
Primary Parent Relationship to Athlete *
Primary Parent Email *
Your answer
Primary Parent Cell *
Your answer
Primary Parent Home Phone *
Your answer
Secondary Parent/Guardian Information:
Secondary Parent Last Name
Your answer
Secondary Parent First Name
Your answer
Secondary Parent Relationship to Athlete
Secondary Parent Email
Your answer
Secondary Parent Cell Phone
Your answer
Secondary Parent Home Phone
Your answer
Please select a payment option: *
Payment options are one payment per season (August and January) or 4 monthly payments per season (Aug-Nov and Jan-Apr).
Submit
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