Otsego Area Rowing Membership form & Releases

Otesego Area Rowing "OAR" Membership Registration

18 years and over, please fill in your information. Youth Members, please fill in with a parent or guardian and have them sign.
Member Name *

First Name Last Name
Participant Email (if no email, use parent or guardian email) *
Parent or Guardian Email if different than above
example@example.com
Contact Phone Number (for same day contact / weather cancellations): *

Area Code Phone Number
Billing Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Member Birth Date: *

Month Day Year
Gender

Female Male Other
Swim Form Link (please download or print before completing)
Participants under 18: please upload the completed OAR Swim Test Form (Note, if you have a swim test on file from a previous season, you may certify above and skip this step)

Cancel of
Emergency Contact Name *
Emergency Contact Phone *
Please enter a valid phone number.
Alternate Emergency Contact Name
Alternate Emergency Contact Phone
Please enter a valid phone number.
At this time, OAR requires all members and class partipants to be fully vaccinated against COVID-19. Please upload your proof of vaccination. *

Cancel of
Are you taking any medications? If so please list medication and dose.
Do you have any serious or life threatening allergies? If so please provide as much detail as possible (ie, epipen protocol).

Medical Questionnaire *

	Yes	No
Has your doctor ever said that you have a heart condition or that you should only perform physical activity recommended by a doctor?
Do you ever feel pain in your chest when you perform a physical activity?
In the past month, have you had chest pain when you were not performing any physical activity?
Do you lose balance because of dizziness or do you have lose consciousness?
Do you have bone or joint problems that could be made worse by a change in physical activity?
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?
Do you know of any reason you should not engage in physical activity?

If you have answered "yes" to any of the above questions, please consult with your doctor before engaging in any physical activity. Tell your physician which question you answered "yes" to. After a medical evalution, seek advice from your doctor as to what type of activity is suitable for you.
Please select payment. If you are also enrolling for a Youth or Adult Learn to row, you don't need to pay here. thank you!
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Youth Membership - 2022 Season 18 and Under
$ 30.00 Quantity
Item subtotal: $ 0.00

Adult Membership - 2022 Season
$ 150.00 Quantity

Total

$ 0.00
Signature of Participant *

Clear
Print name blanks*
Signature of Parent or Guardian if Participant is under 18

Clear
Parent of Guardian Name blanks
Date *

Month Day Year
Date

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Otesego Area Rowing "OAR" Membership Registration