Coxswain Application
Please answer all of the questions.
Name *
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Phone
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Email
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Mailing Address
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If under 18, Date of Birth
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Are you 18? *
Required
Program Interest (Please Check All That Apply)
First Date Available
MM
/
DD
/
YYYY
Last Date Available
MM
/
DD
/
YYYY
Availablility
Keep in Mind the Sessions are as follows:

SRL:
Mon-Thur 5:45-7:15PM & 7:15-8:45PM
Tues-Thurs 6:00-7:30AM
Wed Noon-1:30PM
Fri 5:45-7:15PM

Masters:
Mon-Thur 6:15-8:15PM
Sat 6:00-8:00AM & 8:00-10:00AM

Recreational/Performance:
Mon/Tues 6:00-7:30PM
Sat 10:30AM-Noon

Monday (List Times Available)
Leave Blank if Unavailable
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Tuesday (List Times Available)
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Your answer
Wednesday (List Times Available)
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Your answer
Thursday (List Times Available)
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Friday (List Times Available)
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Your answer
Saturday (List Times Available)
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Your answer
Sunday (List Times Available)
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Your answer
Experience & Certifications
WRRA Experience
In which WRRA Programs Have you Participated?
Years Experience with WRRA?
Your answer
CQL/SQL Rating?
High School/College or other Coxswain Experience
Your answer
Other (rowing experience, team preference, etc.)
Your answer
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