Rower Name *

First Name

Last Name

Rower Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Rower Mobile Phone

(###)

###

####

Guardian #1 Name *

First Name

Last Name

Same Address as Rower

If you check this box you DO NOT have to fill in the address below.

Yes

Guardian #1 Address

Only fill out if the address is DIFFERENT than the rower.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guardian #1 Mobile Phone

(###)

###

####

Guardian #2 Name

First Name

Last Name

Same Address as Rower

If you check this box you DO NOT have to fill in the address below.

Yes

Guardian #2 Address

Only fill out if the address is DIFFERENT than the rower.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Guardian #2 Mobile Phone

(###)

###

####

Volunteer Committee First Choice *

Fundraising

Food Trailer

States

Trailer Towing

Equipment

Practice

Volunteer Committee Second Choice *

Fundraising

Food Trailer

States

Trailer Towing

Equipment

Practice