Which Season
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Summer
Fall
Winter
Spring
2009
2010
2011
2012
2013
2014
2015
Squad:
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Varsity Women
Varsity Men
Novice Women
Novice Men
Please share how you learned about the Club:
Athlete Information:
First Name Middle Initial
Last Name
Email Phone
US Rowing Member Number
Address:
City:
State:
Zip:
DOB
HS Graduation Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
High School Attending
Parent / Guardian / Custodian Information:
Mother Name
Father Name
Home or Work
Home or Work
Cell
Cell
Mother email
Father email
Certification and Preliminary Electronic Signature - Please manually check each box belowto provide your acknowledgement of Club policies and procedures. It is important you read each item carefully, as you will be held responsible for their content. Futher, you will be required to complete this information on a manual form and provide formal signature with your other completed forms and payment by mail.
We have provided at least one valid email address which we will check daily for news, possible changes to practice and regatta schedules and other information which the coaches might want to send.
We certify that we (parents and student-athlete) have read and understand the Dublin Crew documents which are
available on this Club's Web site (see adjacent sidebar for download links) and agree to abide by them. These documents are: Code
of Conduct, Harrassment Policy, Web Site Policy, Travel Policy, Refund Policy, Attendance Policy, Chaperone Guidelines, Driver Guidelines, and the High School Rowing Agreement with the City of Columbus.
We verify that all medical, contact, and insurance information is up-to-date and current.We verify that all medical, contact, and insurance information is up-to-date and current.
We verify that the waiver on file with Dublin Crew is valid for the season being registered for with this document.
We acknowledge that is is our responsibility to check the web site on a regular basis for pertinent information regarding
Club activities and expections. The web site address is: www.highschoolrowing.org.
We verify that our student-athlete can swim 25 meters or the equivalent of one standard lap in a pool.
We acknowledge that it is our responsibility to transport our athlete to each regatta and to provide appropriate lodging
for the trip. If the Club offers a bus or crew rooms for a regatta, we agree to turn in all forms and money due by the
published deadlines. Should we be unable to transport our athlete, we will make arrangements with other Club families.
We acknowledge that failure to return this form signed by both the Participant and his/her parent or guardian renders the Participant ineligible to be a member of Dublin Crew.
We acknowledge that rowing is a team sport and attendance is mandatory. We verify that we understand that our athlete
is allowed one unexcused absence per season . We acknowledge that there are consequences for missing practice and for
being late to practice. We understand that just because our school district calls a weather related day, the Club may not.
By checking below, you indicate the intent to submit your completed Registration Packet with signatures by mail with your required payment and agree to the above.
Student Intent to Sign
Parent Intent to Sign | Dated
Month
Jan
Feb
Mar.
Apr.
May
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
Day
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19
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Year
2009 2010 2011 2012 2013 2014 2015
- This qualifies as Pre-Registration Only