Crew Nation Regatta ADULTS Registration Form
We are very pleased you are registering an Adult Crew for our Adult Indoor Erg Slider Racing Regatta to be held on November 3, 2019. To REGISTER YOUR ADULT CREW'S INTEREST and RESERVE your race place(s), please complete the detail below.

PLEASE NOTE: to confirm your RACE PLACE payment must be received no later than Friday October 25, 2019. We will send you a reminder (if required) on Friday October 11, 2019.

PLEASE NOTE: once payment has been made, you will be sent a form to complete in order to confirm Crew member names and details. If you are registering an ADAPTIVE ROWING Crew, you will be required to supply classification details at this time.

I declare there are no medical reasons why my Crew should not participate in the sport of indoor rowing.

My Crew agree to abide by the rules of racing and safety instructions given to us.

My Crew understands that they participate at their own risk.

Email address *
Main Contact Forename *
Your answer
Main Contact Surname *
Your answer
Club Role *
Your answer
Gender *
Boat Club / Indoor Rowing Club Name *
Your answer
Club Address *
Your answer
Contact Telephone *
Your answer
Mobile Phone *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Number *
Your answer
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