FCRC Summer Camp Registration
645 Cesery Blvd., Jacksonville, FL 32211
Contact us at (904) 479-6325 or info@FirstCoastRowing.com
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Rower's Name (last, first) *
Parent Name (last, first) *
Parent email and phone number *
Rower email and phone number *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age *
School & Rising Grade Level *
Your regular rowing club (if applicable) *
Most current 2,000m erg time
Sculling Experience Level *
Novice
Highly Experienced
Sweep Experience Level *
Novice
Highly Experienced
Which program are you interested in? *
Required
If you selected a 3x/wk or 6x/wk program and don't plan to row the full 8 weeks, indicate what dates you can train with us.
Preferred Method of Billing (invoice to follow).  If doing a 2-month program, you may pay in two installments, at the start of each month. *
Medical Conditions *
Required
Elaborate on any medical conditions (if applicable)
NOTE: All participants will be required to sign waivers and comply with strict safety protocols to ensure a healthy camp environment. All participants 18 and older will be required to complete applicable SafeSport certification.
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