basic
choices
billing
Contact Info
First Name
Last Name
E-Mail Address
Address
City
State
ZIP
Home Phone
Work Phone
Mobile Phone
Personal Data
Sex
M
F
Birthday (mm/dd/yyyy)
Height
Your Height
Weight
Your Weight
Shoe Size
Your Shoe Size
Emergency Contact
First and Last Name
Home Phone
Work Phone
Mobile Phone
Qualifications and Certifications
Swim Cert and Captain's Boat Handling Test
Date of Swim Test
Date of Captain's Test
Who gave you the Captain's test?
Experience and Affiliations
USRA Member Number (optional)
Prior rowing experience, years:
Sweep
Sculling
Rowing Affiliations; Clubs, Collegiate, HS, etc.
Membership Type
FAMILY OR INDIVIDUAL
ADDITIONAL FAMILY MEMBER
ADDITIONAL FAMILY MEMBER (NON-ROWING)
STUDENT MEMBER
LEARN-TO-ROW (Sweep/Scull)
Choices
Billing