WBC 2022 Summer Middle School Program

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July 11th - Aug 5th
Tuesday & Thursday 5:30pm-7:30pm
Regattas included in price (Beak of the Chick)

$150

Who: Rising 7th-8th Grade Rowers (No new rowers)

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Rower Last Name *

Rower First Name *

Rower Email Address *

Rower Mobile Number *

Rower Birthday (month/day/year) *

YYYY

Rower Mailing Address *

Primary Parent (Emergency Contact) Last, First Name *

Primary Parent (Emergency Contact) Mobile Number *

Primary Parent Email Address *

Secondary Parent Last, First Name

Secondary Parent Mobile Number

Secondary Parent Email Address

Swim Test: By checking the box below, the rower's parent/guardian verifies they have witnessed the athlete perform the following tasks unassisted without touching the bottom or sides of a pool: 1. Swim a minimum distance of 75 feet. 2. Tread water or float for five minutes. 3. Don a life vest while swimming. *

I verify the above statement to be true and take responsibility for its accuracy

必填

Medical Considerations (allergies/asthma)

Anything Else You Need to Tell Us? *

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