AWRC membership form

ARAMOHO WHANGANUI ROWING CLUB MEMBERSHIP FORM

Please fill out the following form to row with us.
Full name *

First Name Last Name
Have you rowed before? *

Yes No
Date of birth *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City Region

Postal Code
Mobile *
If you don't use a cell phone, please put your home phone number.
Home phone number
E-mail
Occupation
Sometimes we need help at the club. For example, if you're a savvy builder or marketing whiz, we'd love to go to you in the first instance with our work. If you're filling this out on behalf of your child, please put your occupation.
Emergency contact
Emergency contact's full name *

First Name Last Name
Emergency contact's mobile *
If you don't use a cell phone, please put your home phone number.
Membership options

Please let us know what membership you're signing up for. Find our membership prices on our website here: https://www.aramohowhanganuirowing.nz/membership-fees
What membership type are you signing up for? *
If you're also needing a private boat rack at the club, please let us know in the next question. This costs $75 per year.
Are you needing a private boat rack? (optional add-on) *

Yes No
How will you be paying? *

Cash Automatic payment directly to 03-0791-0543270-00
Please agree to the following. *

I have made payment for my subs and will pay regatta fees within 5 days of receiving invoice. I have set up an automatic regular payment to cover fees, or paid in full.
Additional questions
Can you swim 50 metres? *

Yes No
Do you have any pre-existing medical concerns we should know about? *

Yes No
If you answered 'yes' to having a pre-existing medical concern above, please specify below.
Rower signature *

I agree to abide by the Aramoho Whanganui Rowing Club code of conduct. I agree to pay Aramoho Whanganui Rowing Club subscription by 30 November and regatta expenses as invoiced, by the required date. Clear
Parent signature *

As a parent of a school rower, I accept the information above is true and correct. I also accept my child will abide by the AWRC Code of Conduct, and honour my child’s subscription and other expense payments. Clear
Should be Empty:

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ARAMOHO WHANGANUI ROWING CLUB MEMBERSHIP FORM

Emergency contact

Membership options

Additional questions