Membership Application Form

Registration Form Rower Information
Rower's Name*

First Name Last Name
Rower's Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Rower's Home #*

Area Code Phone Number
Rower's Cellular #*

Area Code Phone Number
Rower's E-mail*
Rower's School*
Birth Date*
Age*
Grade*
Sex*
Racing Shirt Size*
Have you rowed before*
If Yes, Highest / Last Level?
If Yes, What Position?
What other sports do you Participate in?
What is the athlete's approximate weight?
I grant permission to WCC to share my E-mail address if another parent request it.*

YesNo
Rower's Signature.*

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Parent/Guardian Information
Parent/Guardian (1) Name*

First Name Last Name
Parent/Guardian (1) Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian (1) Home #*

Area Code Phone Number
Parent/Guardian (1) Cell #*

Area Code Phone Number
Parent/Guardian (1) Work #

Area Code Phone Number
Parent/Guardian (1) E-mail*
Parent/Guardian (2) Name

First Name Last Name
Parent/Guardian (2) Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian (2) Home #

Area Code Phone Number
Parent/Guardian (2) Cellular #

Area Code Phone Number
Parent/Guardian (2) Work #

Area Code Phone Number
Parent/Guardian (2) E-mail
I give W.C.C. permission to use my child's picture in newspaper articles and on the WCC web page.*

YesNo - Please contact wccwinning@gmail.com to confirm this
By clicking the box below and electronically signing my name to this registration document I fully agree to and acknowledge that I am aware of my rower's mandatory participation needed in the cleanup day at Sharpe Reservation. I also acknowledge that the date and time of this clean up is TBD*

I fully agree and acknowledge
Responsible Parent/Guardian Signature.*

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Acknowledgement
It is the discretion of our coaches whether a boat is race ready. Based on readiness, an athlete might not row at every race.*

Athlete fully aware and acknowledgeParent/Guardian fully aware and acknowledge
2023 Payment Agreement - Wappingers Crew Club
Equipment Fee

Each rower is responsible for $100.00 for the equipment fee.

Equipment fee obligation can be met by Fundraising/getting sponsors for the racing shirts.

NOTE: Equipment fee is due by February 17, 2023

CLUB PAYMENT OPTIONS

Option 1: Payment can be made via Venmo. The WCC Account is @Wappingers-Crew-Club.

Option 2: Payment in full by check sent in the mail. DO NOT SEND CASH IN THE MAIL.  Our address is

Wappingers Crew Club

PO BOX 221

Hopewell Junction, NY 12533

If rower's dues and equipment fee are not paid in full by February 17, your child will not be allowed to participate in practices until payment is made.

All Completed Registration Paperwork needs to be submitted by tryouts (February 13) or rowers will not be allowed to participate in practices.

Parent/Guardian Agreement

* I understand the financial information listed above

* I understand I am committed for the full season and there will be no refunds after the first 14 days of practice

* I understand that by February 17 all dues for the current rowing season are to be paid in full

* I understand that the equipment fee is due by February 17 of the rowing season and the amount is non-refundable.

* I understand that if my child is removed from the team for any reason, I am still responsible for all fees required by the club.

** Please do not give payment to coaches. If you would like to make other arrangements to pay or hand in paperwork, please email wccwinning@gmail.com

2023 WCC Club Fees

	NOVICE	VARSITY
Dues:	$630	$710
Equipment:	$100	$100
TOTAL	$730	$810

By clicking the box below and electronically signing my name to this registration document I fully agree to and acknowledge the PAYMENT AGREEMENT*

I fully agree and acknowledge
Responsible Parent/Guardian Signature for Payment.*

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Responsible Parent/Guardian date *

MonthDay Year
Date
Rower's Name *

First Name Last Name
Responsible Parent/Guardian Name *

First Name Last Name
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
CONCUSSION ACKNOWLEDGEMENT AND SIGNATURE FORM

FOR PARENTS AND STUDENT ATHLETES
Heads Up Concussion Fact sheet for Athletes
Heads Up Concussion Fact sheet for Parents
Student Athlete's Name *

First Name Last Name
IC 20-3-7 "Student Athletes: Concussions and Head Injuries" requires schools to distribute information sheets to inform and educate student athletes and their parents of the nature and risk of concussion and head injury to student athletes, including the risks of continuing to play after concussion or head injury. The law requires that each year, before beginning practice for and interscholastic or intramural sport, a high school student athlete and the student athlete's parent must be given an information sheet, and both must sign and return the form acknowledging receipt of the information to the student athlete's coach. The law further states that a high school athlete who is suspected of sustaining a concussion or head injury in a practice or game, shall be removed from play at the time of injury and may not return to play until the student athlete has received written clearance from a licensed health care provider trained in the evaluation and management of concussions and head injuries, and not less than twenty forur (24) hours have passed since the student athlete was removed from play.

Parent- Please read the attached "Heads Up-Concussion in High School Sports- A Fact Sheet for Parents" and ensure that your student athlete has also received and read "Heads Up-Concussion in High School Sports- A Fact Sheet for Athletes". After reading these fact sheets, please sign below and ensure that your student athletes also sign the form. Once signed, have your student athlete return this form to his/her coach.
I am a student athlete participating in the above mentioned sport. I have received and read the Student Athlete information Fact Sheet. I understand the nature and the risk of concussion and head injury to student athletes, including the risks of continuing to play after concussion or head injury.
Signature of Student Athlete *

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Today’s Date

MonthDay Year
Date
I, as the parent or legal guardian of the above named student, have received and read the Parent Information Fact Sheet. I understand the nature and risk of concussion and head injury to student athletes, including the risks of continuing to play after concussion or head injury.
Parent or Guardian Name*

First Name Last Name
Signature

Clear
Parent or Guardian Date

MonthDay Year
Date
Code of Behavior & Expectations of W.C.C.
Rower and Parent/Guardian Code of Conduct and Behavior

Team Norms and Expectations

In order for us to function successfully as a unified coherent crew, rowers and parents must agree to certain norms of behavior:
- NO BULLYING, NO CYBER BULLYING: put-downs, ethnic, sexual or culturally inappropriate comments.
- Respect for all persons and property.
- Politeness to all on the team and to everyone you meet
- Support to all members of the team: varsity or novice members
- No public displays of affection
- Adhere to specific rules identified by the coaches. Coaches will promise to investigate thoroughly any known complaints or violations of these general rules. Investigative decisions will be reviewed with the known student(s), parents will be informed of coaches decisions. Consequences to these rules can result in anywhere from a discussion by the coach to removal from the team.
For the well-being and safety of the team when traveling, everyone agrees to the following:
- Rowers are not allowed to drive themselves or others to away regattas without parent permission.
- ONLY ROWERS AND COACHES are permitted to be at or around the trailer and boathouse during races.
- Team Curfew for away regattas will be annouced by the coaches.
- Do not leave your motel/hotel room without direct permission from a parent/chaperone or a coach.
- Lights out and quiet time must be respected.
- Athletes need adequate rest for top performance.
- Parents/chaperones and coaches are entitled to eight hours of sleep!
- Parents/chaperones take responsibility for ensurng that all athletes are accounted for.
Team Participation:
- All rowers are required to attend all practices, including spring break (unless discussed with coaches before hand).
- All rowers are expected to be at all regattas unless excused by coaches.
- All rowers are expected to work together as an efficient and powerful single team.
- All rowers are expected to follow the protocols by Wappingers Crew Club, Coaches, Regatta Officials and W.C.S.D.
*Wappingers Crew Club Team Members Non-Negotionable Items*

No possession or use of alcohol, marijuana, vaping or illegal drugs

No possession of weapons of any kind

No abuse of legal prescription

* Any violation of these items, meaning behavior that is disruptive to the team behavior that threatens the safety of self or others will result in the offending athlete(s) being promptly removed from the team, without a refund.
Rower's Signature

Clear
Name

First Name Last Name
Date

MonthDay Year
Date
Responsible Parent/Guardian Signature*

Clear
Responsible Parent/Guardian Name

First Name Last Name
Responsible Parent/Guardian Date*

MonthDay Year
Date
Thank you for signing up for WCC! Please be sure to have your child's physician fill in the WCC medical form, and complete the sign up for US Rowing & Team Snap to complete your registration.

Click 'Submit Membership' Below to finalize your Membership Form. Press 'Print Form' beforehand if you'd like save a copy for your own records.
Should be Empty:

Registration Form Rower Information

Parent/Guardian Information

Acknowledgement

CONCUSSION ACKNOWLEDGEMENT AND SIGNATURE FORM

Code of Behavior & Expectations of W.C.C.

Thank you for signing up for WCC! Please be sure to have your child's physician fill in the WCC medical form, and complete the sign up for US Rowing & Team Snap to complete your registration.