Clone of Green Mountain Rowing 2025 Membership Registration

2026 Annual Club Membership Registration

Please complete and submit this membership form. Questions may be directed to greenmountainrowing.info@gmail.com.
Member Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Birth Date

MonthDayYear
Primary Vehicle (Make/Model)
(For safety, let us know what vehicle parks at the boathouse)
License Plate (State & Number)
USRowing Individual Membership Number
Athletes must carry, at a minimum, USRowing Basic Individual Membership to be part of Green Mountain Rowing and to be covered by our organizational insurance plan.
USRowing Membership Expiration

MonthDayYear
Date
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email Address
example@example.com
Green Mountain Membership Benefits

Membership includes access to club equipment (suitable to all skill levels and abilities), social events, scrimmages, and voting rights. Members are also covered by USRowing's Organizational Membership, which provides comprehensive liability insurance coverage.
Membership Type
Payment is expected at the beginning of the season. Payment plan options are available upon request. Please contact Lynne Graves, Treasurer, via email: greenmountainrowing.info@gmail.com.
Green Mountain Rowing Waiver
Rules & Regulations
Rules and Regulations:
Swim Test: I verify that I can swim 100 yards without stopping, tread water for 10 minutes, and put on a lifejacket while in the water.
Do you have any medical conditions, allergies, or medications we should be aware of in case of an emergency? If yes, please provide details.
Today's Date

MonthDayYear
Date
Membership payments should be made out to "Green Mountain Rowing" and sent to:

Lynne Graves

PO Box 39

Grand Isle, VT 05458

Thank you!

Interested in supporting the Royal Lamoille Rowing Foundation?

The Foundation's mission is to support rowing education on the Lamoille River. To support the Foundation, checks can be made payable to Royal Lamoille Rowing Foundation and separately mailed to Frank Guillot, 284 S. Union St., Burlington, VT 05401 or online on the Foundation website. Note that this does not replace your membership dues!
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2026 Annual Club Membership Registration

Member Information

Emergency Contact

Green Mountain Membership Benefits

Green Mountain Rowing Waiver

Rules & Regulations