AJR 2021 Summer Rowing Registration
Sessions 1 + 2  
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Rower Last Name, First Name
Rower Email
Rower Cell
School
Grade for Fall 2021
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Which Option Are You Registering For (If paying per week or session, I will contact you via pricing and how much to pay when.)
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What Sessions are You Available For? Check all that apply. Marking a session you are available doesn't commit you to that session.
How will you pay?1) Via Paypal (please include transaction fees): Pay to annapolisjuniorrowing1@gmail.com. ($415)   2) Via Check: Written and mailed to Annapolis Junior Rowing, mailed to P.O. Box 6804, Annapolis, MD 21401. ($400)
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ASSUMPTION OF THE RISK. I acknowledge and understand the following:  1). Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; 2). I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of AJR; and 3). I hereby knowingly assume the risk of injury, harm and loss associated with the Activity, including any injury, harm and loss caused by the negligence, fault or conduct of any kind on the part of AJR.
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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:
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