AJR 2022 Learn to Row Registration
Sessions 3
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Rower Last Name, First Name
Rower Email
Rower Cell
School
Grade
Birthday
MM
/
DD
/
YYYY
Which Summer Learn to Row Session are you registering for?  
How will you pay? 1) Via Paypal (please include transaction fees): Pay to annapolisjuniorrowing1@gmail.com. ($440)   2) Via Check: Written and mailed to Annapolis Junior Rowing, P.O. Box 6804, Annapolis, MD 21401 ($425)
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Parent/Emergency Contact Last Name, First Name
Parent/Emergency Contact Cell Phone
Parent/Emergency Contact Email
Health Insurance Company and ID:
Any allergies or illnesses we should know about:
Tell us about your athlete. What other sports have they played, if any?
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