North Suburban Crew Juniors Fall 2019
To be filled out by legal guardian and participant
Legal Last Name *
Your answer
Legal First Name *
Your answer
Legal Middle Name *
Your answer
Birthdate *
mm/dd
Your answer
Birthyear *
yyyy
Your answer
School *
Grade *
Please indicate the grade you will be entering in the Fall. If spring registration please enter the current grade level.
Required
Street Address *
Your answer
Village *
Your answer
Zip code *
Your answer
Rower's Cell Phone *
###-###-####
Your answer
Rower's Email *
Your answer
Re-Enter Rower's Email *
Your answer
USRowing Number and Expiration Date *
If not a member you can join USRowing at https://membership.usrowing.org. Club Code is MZN67. Your USRowing membership must be current through the end of the season.
Your answer
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