Green Mountain Rowing Guest Waiver

Guest Waiver & Safety Information

Please complete to join Green Mountain Rowing for a row.
Guest Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
USRowing Individual Membership Number
(Optional)
Emergency Contact
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email Address
example@example.com
Green Mountain Rowing Waiver
I have read, understood, and accepted Green Mountain Rowing's Waiver.
Rules & Regulations
I have read, understood, and accepted the Rules & Regulations for membership.
Today's Date

MonthDayYear
Date
Donations can made out to "Green Mountain Rowing" and left in the barn red mailbox (by the back door) or mailed to:

Lynne Graves

PO Box 39

Grand Isle, VT 05458

Thank you!
Should be Empty:

Guest Waiver & Safety Information