Membership Application


INSTRUCTIONS

Please fill out the form with your computer, check your work and click SUBMIT at the bottom.  Then follow the mailing instructions that you will receive in your confirmation email to complete the application process.   DO NOT PRINT THIS PAGE AND FILL IT OUT WITH PEN, PENCIL OR CRAYON  --  Applications submitted by any means other than this online form will be rejected, no exceptions.  To add insult to injury, we will cash your check anyway.  Fields in RED are required.

When you successfully fill in the form and click SUBMIT, you will get a GREEN success message near the top of this form in big bold letters.  Give yourself a nice round of applause.  If you need to edit inappropriate answers, you will see RED error messages describing the problems.  Fix those problems and then click SUBMIT again until you get the green success message.  Once your application is submitted, you can always return to update your info throughout the year -- save the confirmation email with your username/password for this.

Special notes for particular membership types:

  • RENEWING MEMBERS:  The form below should be filled out with the information you provided last year.  If not, start over with your username and password to avoid a duplicate membership record and wasted time on your part and ours.
  • NEW MEMBERS:  New members are always welcome, but to row with club equipment, you must have prior sculling experience of sufficient quality to pass the Boat Captain's proficiency test.  The only exception to this are members who are taking Learn To Row classes.
  • LEARN TO ROW MEMBERSHIPS:  USRA rules require that students in the Learn To Row classes must be members of the club.  The sections below which are designated with the symbol must be completed.  DO NOT COMPLETE AN APPLICATION FOR LTR/LTS UNLESS YOU HAVE RECEIVED CONFIRMATION THAT YOU ARE IN ONE OF THE TWO SESSIONS FOR THE CURRENT YEAR.  Visit the LTR web page for more info.
  • STUDENT MEMBERSHIPS: Sweep rowers are invited to join the MRRA, but you must have some sculling experience.  One year in an eight may not be sufficient.  We cannot guarantee transition coaching from sweep to sculling.  Please contact the BoatCaptain@merrimackrowing.org prior to completing the membership application for individual consideration.  Student members under the age of 18 must also have parental supervision on the water.  MRRA members can not be responsible for minors unless they are the legal guardians of the minor.
  • FAMILY MEMBERSHIPS:  ALL family members must fill in an application.  The PRIMARY member should apply first, and then subsequent members should apply as "ADDITIONAL FAMILY MEMBER" in Section 5 to assure accounting accuracy.

Send questions about this form to membership@merrimackrowing.org

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1. Applicant Information
  Each member of a family MUST submit a separate application.  Enter the last name of the family in section 5 so that we know to expect only a single check for the family membership.
LAST Name
FIRST Name
Address
City / State / Zip
E-Mail Address
This email address will be used for club mailings and shown on the Members list.  Keep it current.
Home Phone
Format for all phone numbers is 999-123-4567 x12345.  At least one phone number is required.
Work Phone
Mobile Phone
City / State where you work or attend school
You might be handy as a key holder if you are reliably near the boathouse during rowing hours.

2. Personal Information
  Personal information will only be used statistically or for the sake of equipment purchase considerations.  Your birthday year will only be used if required for a race application, and if you plan on racing it is recommended that you supply your birthdate.  Birthdate is REQUIRED for LTR/LTS and STUDENT memberships.
 Sex >M >F
Height
Weight Class
Shoe Size  
Birthday
Use format mm-dd-yyyy		  

 

3. Emergency Contact Information
First and Last Name
 Home Phone
Format for all phone numbers is 999-123-4567 x12345.  At least one phone number is required.
Work Phone 
Mobile Phone

 

4a. Swim Certificate
NEW APPLICANTS MUST INCLUDE A SWIM CERTIFICATE WHEN YOU SEND IN YOUR CHECK AND WAIVER TO THE PO BOX.  Returning Members must have a valid swim certificate less than 5 years old on file.  The Swim Cert date below is entered by Administrators and cannot be edited by you, it's shown for your information.
Date of Swim Test
Need the swim cert?  Swim Cert PDF is here.

 

4b. Experience, Qualifications
USRA Number
 Prior rowing experience:
Sweep years
Sculling    years
Rowing Affiliations
Prior or current clubs, school teams, etc.		  
BOAT HANDLING TEST (for NEW and recently-joined members):
Who tested you?  
Date of Test
Use format mm-dd-yyyy or mm-yyyy if you don't know the exact date.		  

 

5. Membership Type & Fees
Membership Type

Membership Type: First family member should choose "FAMILY", other members choose "ADDITIONAL" and then select the name of the lead family member below.  If you do not plan to row regularly, choose the NON-ROWING option so that we can better gauge our roster size for the year.  LEARN-TO-ROW students:  Choose LEARN-TO-ROW membership type even if you think you might join the club later.  Your membership status can be updated then.

Family Name (only select if choosing ADDITIONAL FAMILY MEMBERS above):
MRRA Membership. $350 single or family, $200 for LTR/LTS, $150 for Student.  See web site for other rates that may apply.  
Rack Rental
 $350 for each 1x
$500 for each 2x		 Rack Rental:  If you share a boat, note that person's name below.  Boat Captain has ruled that rental fee is per BOAT and not per rack.  Do not include money if you did not rent a rack last year, instead contact boatcaptain@merrimackrowing.org to be put on the waiting list. 

Shared Boat with:
Optional
Club Donation		 Tax-deductible optional contribution.
TOTAL Include Check for this amount with your confirmation page after you submit your membership application below.

 

6. Opportunities for Excellence
As required by club rules, all members must be active participants in club activities.  Participation is required for the two club-sponsored regattas, and three other Opportunities for Excellence.  Choose three opportunities that appeal to you from the list below in addition to the two required.  For your convenience, the Festival and TRR boxes have already been checked.  Check the web site for descriptions about what might be involved.  Resources will be commandeered as necessary - your specific preferences may be adjusted to meet club requirements.  Check all boxes that apply and wait for The Hand to touch you on the shoulder and call upon your service.  Depending on time and skills, you may be tapped for multiple jobs so make your choices assuming you will receive multiple opportunities.
Festival Regatta Choose three different FR jobs:
1st choice:
2nd choice:
3rd choice:
Textile River Regatta Choose three different TRR jobs:
1st choice:
2nd choice:
3rd choice:
Club Officer > Current year officers check this box.  If you would like to be a club officer one day, check this box to be recruited for task work leading to an officer position.
Safety Committee > Setting rules, enforcement, etc
Outreach > Getting the MRRA name out into the political world
Learn To Row Coach/Helper > Check web site for dates of LTR classes
Boathouse Maintenance and Repair > Cleanup committee, occasional maintenance work
Boat Captain Helper > Ordering parts, boat/rack repair, etc
Marketing, Publicity and Advertising > Build a mailing list to solicit paid ads on web site, get free stuff from Vespoli, etc.
Assistant Secretary > Mail pickup, data analysis, miscellaneous running around
Social Committee > Cookout, etc.
What is your occupation?
Special skills you have that might benefit the club
Tell us about your work, field of study in school, how you started rowing, whatever.  Something for other members to learn about you.

 

7. Acknowledgements
  You must TYPE the word YES in the boxes below or your application cannot be accepted.  Certain boxes will be verified by attendance records and supplied documents.
All members and guests participating in programs and/or using the MRRA facilities and its equipment do so at their own risk. You must read and agree to the terms of the MRRA waiver. I have read and agree to the terms of the MRRA Release Agreement and Waiver of Liability.

Read and print the Release Agreement / Waiver (PDF)

LTR students must supply a signed waiver at the first night of class.  Skip to section 8.
I have read the club Boat Policy document and agree to its terms and conditions. I have read and agree to the terms of the MRRA Boat Policy.

Read the Boat Policy (PDF)
I have read the club Rack Policy document and agree to its terms and conditions. I have read and agree to the terms of the MRRA Rack Policy.

Read the Rack Policy (PDF)
I have read the club Safety document and agree to its terms and conditions I have read and agree to the terms of the MRRA Safety Document.

Read the Safety Document (PDF)
I have seen the Safety Video. I have viewed and understand the Safety Video. "; echo "document.forms[0].elements['xyn_waiver'].disabled = true;"; echo ""; } if ($fldyn_boatpol=="YES") { echo ""; } if ($fldyn_rack=="YES") { echo ""; } if ($fldyn_safetydoc=="YES") { echo ""; } if ($fldyn_safetyvid=="YES") { echo ""; } ?>
You will also need to submit a UML/MRRA Boathouse Membership application Download the UML/MRRA Boathouse Membership application
You will also need to sign and submit the UML Boathouse Safety doc Download the UML Boathouse Safety document.

 

8. Username and Password
You can change your username and password here.  Recommendation:  Make your username and password the same as those you have set on the Bulletin Board, it's two less things you'll need to remember.
Username

 
The username is only used by you to login to this application form.  Must be unique and not in use by someone else.  Family members should use first name combined with middle initial to make each username unique.
Password
If you forget your password, use the password reminder on the Login screen.  The password reminder will work if your email address is correct in section 1.

 

9. SUBMIT YOUR APPLICATION
When you submit your application below, you will get a confirmation email if this is the first time you are submitting for the year.  Print that email, SIGN IT, and include it with your check and any other required paperwork.  Mail the confirmation and check to the PO Box specified in the confirmation email.

If you are only here to update your information and have already paid, you will not receive a confirmation email.  If you would like to have the confirmation email resent to you, click the "resend" link below.

CHANGES ARE NOT SAVED UNTIL YOU CLICK THE LINK BELOW.  And be sure to check for errors at the top of the page.  Green is good.  Red is bad.
SUBMIT APPLICATION | SUBMIT CHANGES | Reset | LOGOFF 0) { ?> | Resend Welcome Email