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General Membership Application

 

 


Membership Waiver

Application for Membership -- Summer Racing Program

Please complete the entire membership application. Applications which are incomplete may slow the application review process.

Completing this form is for information purposes only, and does not guarantee a place in the summer program.

Please indicate which summer program for which you are applying.
Name
 Mobile Phone
- -
Street Address
 Email
City
 State
 Zip
Date of Birth
      		 
   
Height: ft  in Weight: lbs
Current School
Coach's Name
Years of School Completed
 Coach's Email
Best 2k Erg
: . 		Best 6k/20min Erg
: .   (6k  20min )
Testing Date Testing Date
           
 
Side(s) Rowed:   port   starboard   scull   cox
Years Rowing:
Are you in need of housing info?
yes    no 		Are you in need of employment info?
yes    no
   
Please provide any additional, relevant information about your competitive athletic experiences.
   

Schools that Row from Vesper

Sacred Heart
Josselyn Delussy
JRD@IRMPHILA.com


Friends Select

 

Archbishop Prendergast
Pat McDonnell
patm@wcmechanical.com