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Broad Run Crew Registration Spring 2021
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* Indicates required question
Rower Last Name
*
Your answer
Rower First Name
*
Your answer
Rower Birthdate (mm/dd/yy)
*
Your answer
Rower Cell Number
*
Your answer
Rower Email Address
*
Your answer
Rower Address
*
Your answer
Gender
*
Male
Female
Grade
*
8th
9th
10th
11th
12th
Are you interested in being a coxswain?
*
Yes
No
Undecided
Preferred Rowing Side
*
Port
Starboard
Both
Uncertain
Would you be comfortable/interested in participating in boot camp sessions at PowerTrain during the winter season? PowerTrain membership information will follow in the coming weeks. PowerTrain membership and fees are managed through PowerTrain.
*
Yes
No
Undecided
Shirt Size (unisex) All rowers complete
*
S
M
L
XL
XXL
Women's Shirt Size (women rowers only)
S
M
L
XL
XXL
Clear selection
Name of Parent/Guardian 1
*
Your answer
Cell Number of Parent/Guardian 1
*
Your answer
Email Address of Parent/Guardian 1
*
Your answer
Name of Parent/Guardian 2
Your answer
Cell Number of Parent/Guardian 2
Your answer
Email Address of Parent/Guardian 2
Your answer
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