2024–2025 LOCR Medical and General Information
Please fill out the following information for the participant in an LOCR program (either yourself or a youth for whom you are a parent/guardian). If you choose to sign into Google, it will remember your responses should you need to update them later.

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Email *
First Name (Participant) *
Last Name  (Participant) *
Which rowing program are you currently signed up for? *
Date of Birth *
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YYYY
Gender
Pronouns
Height
Weight
Address *
City *
Zip Code *
Cell Phone *
Home Phone
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relationship *
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