Person Completing Form *

First Name

Last Name

Phone

(###)

###

####

Relationship to Prospective Rower *

Parent/Guardian

Self

How did you hear about the ORU Junior Team? *

Participated in an ORU Learn-to-Row Summer Camp

Current/Former ORU Junior Team Member

Internet Search

Online School Flyer

Other

Name *

First Name

Last Name

Birthdate (mo/dy/year) *

MM

DD

YYYY

Rowing Experience Level *

None

Have completed a Learn-to-Row Class within the last year

Rowed one year or less at another club

Rowed for more than one year at another club

Is athlete currently rowing at another club? *

Yes

No