Competitive Rowing Registration Company Athlete Information First Name * Last Name * Street Address * City * Province * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Phone * Email * Height * Weight * Gender M F Date of Birth * Parent/Legal Guardian (if under 18) Emergency Contact Information Name * Phone * Relationship to Athlete * Family Doctor Phone Health Card # Allergies / Medical Conditions Swimming Ability * Poor OK Good Very Good Excellent Previous Experience Level * Competitive Level 1 Competitive Level 2 Competitive Level 3 U21/U23 (June - July - August) Prices Level 1: $100/ monthly Level 2: $150/ monthly Level 3 & U21/U23: $200/ monthly Captcha
