RCRC Registration Form

Rose City Rowing Club

Registration Form

Please complete the form below to provide athlete's personal information.
Athlete Name*

NicknameLast Name
Athlete LEGAL name including middle name*

First NameMiddle NameLast Name
Gender (select one)*
How do you describe your gender, if different than above?
Athlete Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Athlete Email
example@example.com
Athlete Cell Phone
Athlete Birth Date*

MonthDayYear
Date
Athlete School*
Grade (Fall 2024)*
Enter as two digits; 07, 08, 09, 10, etc.
Name of parent where athlete resides*
Parent Email 1*
example@example.com
Parent Cell Phone 1*
Parent Email 2
example@example.com
Parent Cell Phone 2
Today's Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty: