Membership Application Form

Registration Form Rower Information
Rower's Name *

First Name Last Name
Rower's Address *

Street Address

Street Address Line 2

City

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. *

Yes No
Rower's Signature. *

To sign signature pad, use mouse and hold down button or for touch screens use pen or finger. Clear
Parent/Guardian Information
Parent/Guardian (1) Name *

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

Street Address

Street Address Line 2

City

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

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. *

Yes No - 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. *

To sign signature pad, use mouse and hold down button or for touch screens use pen or finger. Clear
Acknowledgement
It is the discretion of our coaches whether a boat is race ready. Based on readiness the rower might not row at a race. *

Rower fully aware and acknowledge Parent/Guardian fully aware and acknowledge
2022 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 March 1,2022

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 March 1 of the rowing season, your child will not be allowed to participate in practices until payment is made.

All Completed Registration Paperwork needs to be submitted by March 1 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 March 1, all dues for the current rowing season are to be paid in full

* I understand that the equipment fee is due by March 1 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

2022 WCC Club Fees

	NOVICE	VARSITY
Dues:	$530	$610
Equipment:	$100	$100
TOTAL	$630	$710

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. *

To sign signature pad, use mouse and hold down button or for touch screens use pen or finger. Clear
Responsible Parent/Guardian date *

Month Day 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
Should be Empty:

Registration Form Rower Information

Parent/Guardian Information

Acknowledgement