Cape Cod Community Rowing, Inc. (CCCR)
Masters Membership Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
CCCR Members must join USRowing. What is your USRowing member number? Note that USRowing may require an annual completion of SafeSport course
*
Fill in number here
The CCCR Safety Guide has been published and available on our website.
*
I have read, understand, and agree to abide by the CCCR Safety Guide.
Swim confirmation
*
I confirm that I can swim 100 yards continuously, tread water in a depth over my head for at least 10 minutes, and put on a PFD (life jacket) while treading water.
Signature
*
Submit
Should be Empty: