Please type responses then print
form or
print form first and then complete form. If completed off-line,
PLEASE print clearly! Telephone numbers & emails must be
exact!!
Rower Status:
New
Returning
Rower Last Name
Rower First Name
Birthdate: mm/dd/yyyy
All digits Needed!!!!
Years/Rowing Experience:
Gender
Male
Female
Grade
9
10
11
12
Rower St Address & zip
Rower Home Phone
Rower Cell Phone
Rower Email Address
Rower Lives With:
Mother
Father
Both
Father Last Name
Father First Name
Father St Address & zip
Father Home Phone
Father Work Phone w/ext
Father Cell Phone
Father Home Email
Father Work Email
Mother Last Name
Mother First Name
Mother St Address & zip
Mother Home Phone
Mother Work Phone w/ext
Mother Cell Phone
Mother Home Email
Mother Work Email
Please complete and return with your check for
$75.00 (made payable to RCBC or Robinson Crew Booster Club) at
the General Membership meeting on Wednesday, October 1st, 7:30 PM
in Robinson's Russell Theater.
Questions? Please email Ellie Oakley at
eoakley@cox.net
with "CREW" in the subject line.