2023 Junior Summer Crew 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.

Summer Sessions 2023 INFO:

We have two summer rowing programs for Juniors:

Summer Crew (Open to all Kitsap County residents entering grades 9-12)

2-week summer sessions for returning rowers who have completed a regular spring season rowing

$350 per 2-week session

Monday-Friday, 7-9am

June 26- July 7th (no row on July 4th )
July 10 – July 21
July 24 – Aug 4th

Try Rowing Camp (Open to all Kitsap County residents rising 8th graders or older)

This is for those who have never been in a rowing shell.

Each day will include 2 sessions on the water rows with addition instruction on rowing technique using rowing machines and video review. There will be a lunch break and rowers should bring a sack lunch.

$350 per camp session

Monday- Thursday: 11:30am to 3:30pm

June 26th – 29th
July 10th – July 13th
July 24- 27th

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.

You will need a USRowing Membership to complete this registration:

US Rowing Membership - Member # and expiration date will be needed to complete this registration.
Join or renew your membership at USRowing.com

Please select Basic Membership

Team Name: Bainbridge Island Rowing

Use club code: KRCBC (case-sensitive) to be added to the BIR roster

Already have a USRowing Membership but can't remember your number? Instructions can be found here

REGISTRATION

Grade in the Fall 2023 *

I AM REGISTERING FOR: (select as many sessions as you like)

Summer Crew - Session 1: June 26-July 7Summer Crew - Session 2: July 10-21Summer Crew - Session 3: July 24-Aug 4TRY Rowing Camp - Session 1: June 26-29TRY Rowing Camp - Session 2: July 10-13TRY Rowing Camp - Session 3: July 24-27

ATHLETE INFORMATION

Athlete's Name*

First NameLast Name

Athlete's Email Address*

example@example.com

Athlete Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

(IMPORTANT: this is used for team communications from the coach. If athlete doesn't have a cell phone, enter 000-0000000)

Athlete Cell Phone Number *

Area CodePhone Number

Date of Birth*

Date

Gender*

MaleFemale

Please share your pronouns:

She/Her/HersHe/Him/HisThey/Them/Theirs

USRowing Membership Number*

USRowing Membership Expiration Date

Date

Parent/Guardian 1 Information

Parent Name*

First NameLast Name

Mobile Phone Carrier*

Parent Cell Number*

Area CodePhone Number

Parent E-mail*

Parent Address (if different from athlete)

Street Address

Street Address Line 2

CityState / 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 NameLast Name

Parent Cell Number

Area CodePhone Number

Parent E-mail

example@example.com

Emergency Information

Who should we contact in the event of an emergency during a practice?

Emergency Contact's Name*

First NameLast Name

Relationship*

Emergency Contact's E-mail*

example@example.com

Cell Phone Number*

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

Does the athlete have any allergies, chronic illness, or medical conditions coaches should know about?*

YesNo

If yes, please describe.

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

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

Athlete's Electronic Signature for BIR Waiver*

First NameLast Name

Legal guardian signature for BIR Waiver*

First NameLast 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 Medical Treatment*

First NameLast 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 adopted both the US Rowing Safe Sport Policy and its own Safe Sport Policy in accordance with the guidance of the US Center for Safe Sport. All of these policies are designed to protect junior athletes from both sexual and non-sexual abuse. All members of BIR, both juniors and adults, and all coaches and volunteers are required to take the annual SafeSport Training appropriate to their role. Incidents of alleged sexual misconduct must be reported to US Safe Sport (Incident Report Form or call 833-587-7233) and local law enforcement. Incidents of alleged non-sexual misconduct should be reported to BIR through the Club’s Incident Report Form and/or the BIR SafeSport Coordinator.

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 NameLast Name

Legal Guardian Signature for Code of Conduct*

First NameLast 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 iCrew (our rowing management software) and an account wil be made where you can pay fees. You will receive an email from iCrew with instructions.

Please log into your iCrew account and pay your fees.

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.

THANK YOU & WELCOME TO OUR BIR

2023 SUMMER YOUTH PROGRAMS!

Any questions?

Registrar@Bainbridgerowing.org

2023 Junior Summer Rowing Registration