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Learn to Row Registration
Starts 4 September 2022
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* Indicates required question
Parent Name + Surname (if rower is under 18 years old)
Your answer
Parent email (if rower is under 18 years old). This will be the primary form of communication
Your answer
Parent cellphone (if rower is under 18 years old)
Your answer
Rower First Name + Surname
*
Your answer
Email
*
Your answer
Cell number
Your answer
Home address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
School/College
Kapiti
Paraparaumu
Aotea
Tawa
Mana
Other School
Not applicable
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What days will you attend for learn to row training? Please pick (at least 2) per week. Or all 5 if you want.
*
Sunday 9am-10am
Monday 5-6pm
Tuesday 5-6pm
Wed 5-6pm
Thur 5-6pm
Required
Please list any allergies / health challenges the Club should be aware of
Your answer
I approve of my photo / my child’s photo being taken and posted on Porirua Rowing Club facebook page or used for promotional purposes
*
Yes
No
Required
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