Yorktown Crew - Introduction to Rowing

To register for our Intro to Rowing, please fill out the following survey.

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* 1. Athlete Name:

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* 2. Athlete Email:

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* 3. Parent Name(s):

Parent 1:

Parent 2:

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* 4. Parent Email(s)

Parent 1 Email:

Parent 2 Email:

Any additional contact email:

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* 5. Athlete Grade:

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* 6. Athlete School:

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* 7. Emergency Contact Information:

Contact Name:

Contact Phone Number:

Relationship to athlete: