Clinton Rowing Club General Information Form
Please fill out this form completely. General Information Forms and Waivers are due at the first practice session.
Email address *
Last Name *
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First Name *
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Gender *
Date of Birth *
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Phone number *
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Street Address *
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City *
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State *
Abbreviation
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Zip Code *
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Emergency Contact Name *
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Emergency Contact Phone # *
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Emergency Contact Email *
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Emergency Contact Relationship *
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Medical Conditions?
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Comments
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