2022 Junior Winter Session Registration

IMPORTANT! COVID-19 SAFETY PROTOCOL UPDATES. PLEASE READ!

PLEASE NOTE: BIR STRONGLY REQUESTS "Up To Date Vaccination" (which may include a booster, depending on vaccine type and date given) for all program participants.

Masks may be required depending on local transmission levels. BIR is committed to offering the safest possible experience both for our rowers and our community at large.

Thank you for your understanding.

WINTER SEASON 2022-23 INFO

Open to all Kitsap area students in grades 9-12

DATES: Monday-Friday, November 14, 2022 - January 27, 2023

Practice is rain or shine and athletes should wear running shoes to each practice.

no practices:
- Nov. 23- 25, Thanksgiving Break
- Dec. 19-30, Winter Break
- Jan 16, MLK Day

Days/Times/Locations:

Varsity Boys

Monday: 3:45-5:15pm Erg @ BIR Boathouse

Tuesday: 3:45-5:15pm Training @ Elevate Athletics

Wednesday: 3:30-5pm Track @ BHS

Thursday: 3:45-5:15pm Erg @ BIR Boathouse

Friday: 3:45-5:15pm Training @ Elevate Athletics

Varsity Girls / Novice Girls / Novice Boys

Monday: 3:45-5:15pm Training @ Elevate Athletics

Tuesday: 3:45-5:15pm Erg @ BIR Boathouse

Wednesday: 3:30-5pm Track @ BHS

Thursday: 3:45-5:15pm Training @ Elevate Athletics

Friday: 3:45-5:15pm Erg @ BIR Boathouse

LOCATIONS:
Training - Elevate Athletics Bainbridge (7865 NE Day Rd W #202)

Erging - BIR Boathouse (Waterfront Park)

Track on Wednesdays - BHS Track (Bainbridge High School)

COST: $448

Note: Financial assistance is available to all families with demonstrated need. This is done confidentially, in partnership with Helpline House. Learn more here: https://bainbridgerowing.org/scholarships/ or email registrar@bainbridgerowing.org for assistance.

Registration

A reminder if you need to pause your registration, you can save it and come back later to finish. You will find the 'Save and Continue Later' button at the bottom of the form alongside the 'Submit' button.

The following items will be needed to complete this registration:

1. US Rowing Membership: Please have your rower's USRowing number ready to input. If you need to join or renew your membership:

Log into www.USRowing.com

Please select Basic Membership

Team Name: Bainbridge Island Rowing
Use club code: KRCBC (case-sensitive) to be added to the BIR roster, otherwise your membership will not sync with Bainbridge Island Rowing.

Already have a USRowing Membership but can't remember your number? Instructions can be found here: https://membership.usrowing.org/individual/lookup

USRowing membership fees must be paid each calendar year. Select Basic Membership ($15) and the Regatta Package ($25).

2. Upload simple headshot of your Junior Rower (to be used for coaches to identify and get to know the kids)

3. Physical Examination Form - Required to participate and complete registration. Have a file ready to upload or if your rowers physical is already uploaded in their iCrew documents you do not need to upload it here.

If your student doesn't currently have a physical, use this link to print the physical form and have your Doctor sign it. Physicians may have their own form which is fine. It just needs to be approved and signed by a physician. Once completed and signed, log into your iCrew account and upload the physical.

Current Grade *

I AM REGISTERING FOR: *

NOVICE GIRLS TEAM NOVICE BOYS TEAM VARSITY GIRLS TEAM VARSITY BOYS TEAM

ATHLETE INFORMATION

Athlete's Name *

First Name Last Name

Please Share your pronouns:

She/Her/Hers He/Him/His They/Them/Theirs

Gender *

Male Female

Athlete's Email Address *

example@example.com

Athlete Cell Phone Number - (IMPORTANT: this is used for team communications from the coach. If athlete doesn't have a cell phone, enter 000-0000000). Please do not enter your cell phone number. There is a place to enter your cell # below. *

Area Code Phone Number

Athlete Home Address *

Street Address

Street Address Line 2

City State

Zip Code

Date of Birth *

Date

USRowing Membership Number *

USRowing Membership Expiration Date

Parent/Guardian 1 Information

We use the primary parents information in iCrew (our web-based rowing software) to link with their juniors account so the parent can log in and pay fees. If you have registered your child before and they have an iCrew account, it is helpful if you use the same parent info.

Parent Name *

First Name Last Name

Parent Cell Number *

Area Code Phone Number

Parent E-mail *

Parent Address (if different from athlete)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Parent/Guardian 2 Information

Please fill in this if you want this parent to receive communications about the team. This is especially helpful if the athlete resides in two households.

Parent Name

First Name Last Name

Parent Cell Number

Area Code Phone Number

Parent E-mail

example@example.com

Emergency Information

Who should we contact in the event of an emergency during a practice or regatta? Emergency contact can be a parent.

Emergency Contact's Name *

First Name Last Name

Relationship *

Phone Number *

Area Code Phone Number

Alt. Phone Number

Area Code Phone Number

Does the athlete have any allergies, chronic illness, or medical conditions that might impact participation? *

Yes No

If yes, please describe.

Is the athlete prescribed an inhaler, epi-pen or any other emergency medications? If yes, please explain any instructions.

UPLOAD SIMPLE HEADSHOT OF YOUR JUNIOR ROWER: This will be used by the coaches to help identify and get to know the kids, especially since their faces are usually covered with masks!

Upload Simple Headshot of your Junior Rower for Coaches

Browse Files

SPORTS PHYSICAL

All registrants are required to upload a signed WIAA Physical Examination Form, certifying fitness ability to participate in rowing activities. This form is to be completed by your physician. If your rowers physical is already uploaded in their iCrew documents you do not need to upload it here.

*Please be sure that the name and examination date is legible.

PHYSICALS ARE GOOD FOR 2 YEARS FROM EXAM DATE BUT NEED TO BE UPLOADED WITH EACH REGISTRATION UNLESS YOU ALREADY UPLOADED IN iCREW.

If your student doesn't currently have a physical, use this link to print the physical form and have your Doctor sign it. Physicians may have their own form which is fine. It just needs to be approved and signed by a physician. Once completed and signed, log into your iCrew account and upload the physical.

Upload Sports Physical:

Browse Files

Sports Physical on file with BIR *

A current physical was uploaded I do not have a current physical but do have an appt. scheduled with Dr. and signed physical will be submitted as soon as possible

Date of upcoming physical appointment - please submit signed physical to registrar@bainbridgerowing.org

Date

Bainbridge Island Rowing Waiver of Liability

CONSENT AND RELEASE FROM LIABILITY

IN CONSIDERATION of being given the opportunity to participate in any Bainbridge Island Rowing (hereinafter “BIR”) activities (“Activity or Activities”) I, for myself, my personal representatives, assigns, heirs, and next of kin:

I ACKNOWLEDGE, agree, and represent that I understand the nature of rowing activities, both on water and land based; that I am qualified, in good health, and in proper physical condition to participate in such Activity; and that I am a qualified and competent swimmer.

I FULLY UNDERSTAND that: (a) ROWING ACTIVITIES INVOLVE INHERENT RISKS AND DANGERS of communicable disease(s), serious bodily injury, including permanent disability, paralysis, and death; and property damage ("Risks); (b) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the Releasees named below; (c) by entering the premises and participating in rowing- related and sponsored activities that there are risks to me and to those with whom I interact of exposure, directly or indirectly, to communicable disease(s) including but not limited to the virus “severe acute respiratory syndrome coronavirus 2 (SARS-CoV2)”, “COVID-19”, and/or any mutation or variation thereof; (d) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation in BIR Activities.

I AGREE AND WARRANT that I will examine and inspect each Activity in which I take part as a member of BIR and that if I observe any condition, which I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the Activity and will refuse to take part in the Activity until the condition has been corrected to my satisfaction.

I AFFIRM I will comply with the BIR policies as they relate to communicable diseases.

I HEREBY RELEASE, discharge, and covenant not to sue BIR, its officers, directors, members, volunteers, employees, and agents (hereinafter “Releasees”) from all liability, claims, demands, losses, or damages of any kind or nature which may arise out of, result from, or relate in any way to my participation in BIR Activities, including claims caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, whether on the water or off, including negligent rescue operations.

I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may occur as a result of such claim, to the fullest extent permitted by law.

By my electronic signature, I warrant that: (1) I have read this agreement and fully understand its terms and the fact that I will be giving up substantial rights; (2) I have signed this agreement freely and without inducement or assurances of any nature; (3) I intend for this to be a complete and unconditional release of all liability to the greatest extent allowed by law; (4) that if any portion of this agreement is held to be invalid, the remainder shall continue in full force and effect; and (5) I understand that the terms of this release are unlimited in duration and cover any and all BIR Activities that I participate in now and at any time in the future.

BIR Waiver iCrew 2022

Athletes signature for BIR Waiver *

First Name Last Name

Legal guardian for Informed Consent *

First Name Last Name

Elevate Strength and Conditioning (Our offsite Training Gym)

WAIVER, RELEASE, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT

INTRODUCTION

In consideration for the use of services, facilities, or equipment provided by Elevate Strength and Conditioning, d/b/a Elevate Strength Co., the undersigned participant hereby releases Elevate Strength and Conditioning, its subsidiaries, affiliates, partners, officers, directors, employees, agents, and volunteers (and each of their respective heirs, assigns, and legal representatives), on behalf of the participant or his or her heirs, assigns, and legal representatives, from any and all liability for negligence, bodily injuries, death or property damage to participant, arising out of participant's use of, or presence upon property, or services of Elevate Strength and Conditioning.

ASSUMPTION OF RISK

The participant at Elevate Strength and Conditioning understands, acknowledges, and agrees that activities such as weightlifting, weight training, bodyweight exercises, gymnastics, tumbling, and freerunning are potentially dangerous activities, and those activities can result in injury to the participant and/or damage to property or to third parties, and the participant is fully aware of the risks inherent in engaging in or observing any activity at or provided by Elevate Strength and Conditioning, no matter how careful the participants and staff, no matter what safety equipment is used, the risk cannot be eliminated. Risk can be reduced but never eliminated.

The risk of injury includes, but is not limited to, minor injuries, such as bruising and more serious injuries, such as broken bones, dislocations, rhabdomyolysis, and muscle pulls. The risks include catastrophic injuries such as permanent paralysis or death. These can occur from landing or falls on the back, neck, or head, and other such occurrences. The participant may suffer such injuries while merely observing or being in the proximity to our activities as other participants may collide, land, or fall upon you. The participant is aware of the conditions of the facilities and that conditions may become more dangerous during the time the participant is using the premises. The participant voluntarily assumes all risk of loss, damage, or injury while on the premises. The participant acknowledges that there are various degrees of skill and experience required for the different activities and the participant will abide by the rules for the use of the various activities, including wearing all of the protective gear and equipment that is required for participation and will follow instructions of staff members. Failure to follow rules and instructions from staff may result in termination of participation in activities without refund and/or immediate removal from the facility.

RELEASE, INDEMNIFY, AND HOLD HARMLESS

The participant agrees to release, indemnify, and hold harmless Elevate Strength and Conditioning against, and hold it harmless from, any and all damages, actions, claims, judgments, costs of litigation and attorney's' fees which may result from the participants use of services or the presence on the property or facilities of Elevate Strength and Conditioning, including damage to the equipment used by Elevate Strength and Conditioning, or lessor's property.

AUTHORIZATION FOR TREATMENT AND USE OF MEDIA

I hereby authorize Elevate Strength and Conditioning to act for me according to their best judgment in any emergency requiring medical attention. All medical expenses incurred will be the responsibility of the participant or participant's family. By signing below, I certify to Elevate Strength and Conditioning that I have no physical condition or mental impairment that would be affected by participation in activities of Elevate Strength and Conditioning. I permit Elevate Strength and Conditioning to use any photographs, videotapes, motion picture recordings, or any other record taken while I am on the premises of Elevate Strength and Conditioning, or engaged in any activity or event sponsored, promoted, or organized by Elevate Strength and Conditioning for publicity, advertising, or any legitimate purpose.

GOVERNING LAW

The entirety of this agreement will be governed by the applicable laws of the State of Washington. Any action brought to enforce the provisions of this agreement will be brought in the state court of Kitsap County and may be subject to applicable Mandatory Arbitration Rules. Participant shall bear his or her own costs and attorney's fees in pursuing such an action and may be liable for Elevate Strength and Conditioning attorneys' fees under the terms above.

By signing this waiver and assumption of risk and release, I acknowledge that I have read the above release and fully understand its contents. I agree to be bound by the terms of the release and understand that any and all risks, whether known or unknown, are expressly waived in advance. I certify that the participant is covered by insurance to cover any injury or damages I may suffer or cause, or else I agree to bear the costs for such injury or damage to myself, or others.

Athlete Signature for Elevate Offsite Gym *

First Name Last Name

Legal Guardian Signature for Elevate Offsite Gym *

First Name Last Name

Medical Release Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations (i.e. tetanus shot) for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Bainbridge Island Rowing and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Legal guardian signature for Emergency Treatment *

First Name Last Name

Annual Coach/Athlete/Parent Code of Conduct

I consent to abide by the below described Rules of Conduct while I am associated with, participate with or are under the auspices/control of the Bainbridge Island Rowing (BIR). I understand that violations may result in full or partial forfeiture of a registered athlete, coach, and/or parents’ privileges without recourse and/or other disciplinary proceedings as outlined by BIR’S Disciplinary Process.

1. In accordance with US Rowing, as well as BIR rules governing athletes’ and parents’ conduct, BIR registered athletes, coaches, volunteers and parents shall demonstrate good sportsmanship. This includes, but is not limited to, avoiding the following misconduct:

Hazing or taunting or mocking an athlete, coach, regatta official or any person participating in or conducting a BIR sanctioned program or event. This includes communications taking place via social media;
Physically or verbally abusing an athlete, coach, or race official or any person participating in or conducting a BIR sanctioned event including but not limited to making derogatory comments about such person’s race, sex religion, age, disability, national origin, or sexual orientation;
Using obscene gestures, profane or unduly provocative language toward an athlete, coach, parent, regatta official, or any person participating in or conducting a BIR sanctioned program or event.
Publicly and unduly criticizing an athlete, coach, race official, or any person participating in or conducting a BIR sanctioned program or event including but not limited to, inciting others to engage in conduct in violation of the Rules;
Negative recruiting by making unduly derogatory statements about the members or coaches of another team;
Although BIR is a physical sport, BIR registered athletes, coaches, volunteers and parents are expected to refrain from engaging in any act with the intent to cause injury to another athlete, coach, volunteer or parent.
Coaches, volunteers, parents and BIR members shall not engage in any inappropriate financial or sexual relationships with athletes.

2. BIR has created a SafeSport Policy, adopted from the US Rowing SafeSport Policy in accordance with the guidance of the US Center for SafeSport. These policies are designed to protect junior athletes from both sexual and non-sexual abuse. All members of BIR, both juniors and adults as well as all coaches and volunteers, are required to take an annual online SafeSport Training appropriate to their role. Incidents of alleged sexual misconduct must be reported to US SafeSport (Incident Report Form or call 833-587-7233) and local law enforcement. Incidents of alleged non-sexual misconduct, or any concerns, should be reported to BIR through the Club’s Incident Report Form or contact the BIR SafeSport Coordinator at safesport@bainbridgerowing.org.

3. Athletes, coaches, and parents of BIR shall not use, possess, or provide alcohol, illegal substances, or drugs (except as prescribed by a licensed physician) in violation of federal, state, or local laws.

4. Firearms, ammunition, knives, and all other items that could be construed as a weapon are prohibited while on BIR grounds or at BIR sanctioned events.

5. Misconduct including, but not limited to, inappropriate horseplay, property damage, theft, fighting, or any act considered to be in violation of federal, state, local laws or that of a host country is prohibited.

Athlete Signature for Code of Conduct *

First Name Last Name

Legal Guardian Signature for Code of Conduct *

First Name Last Name

BIR likes to celebrate the achievements of our athletes throughout the season by publishing photographs on social media, our website and in local newspapers. Please let us know if BIR may not publish photographs of your athlete.

PHOTO RELEASE OPT OUT:

BIR does not have permission to publish photographs of my child.

Help Replenish our BIR Scholarship Fund!

Did you know that 10% of our Junior rowers rely on financial aid to participate in the sport? Your donation generous donation keeps rowing accessible to all.

Click the link below and choose the option to donate to our scholarship fund from the drop down menu.

Donate to BIR Scholarship Fund

BIR is a 501(c)(3) nonprofit organization.

FEE PAYMENT:

Once this form is submitted, you will receive a confirmation from Jotform. Within a few days your rower will be added to the iCrew team and fees applied to their account. Please log into your iCrew account and pay your fees. If you are new to BIR, you will receive an email from our registrar with next steps and iCrew log on instructions.

Note: Financial assistance is available to all families with demonstrated need. This is done confidentially, in partnership with Helpline House. Learn more here: https://bainbridgerowing.org/scholarships/ or email registrar@bainbridgerowing.org for assistance.

Any questions?

registrar@bainbridgerowing.org

Thank you & welcome to

BIR Junior Crew Winter Training!

Junior Winter Crew