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AJR 2021 Learn to Row Registration
Sessions 3
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Rower Last Name, First Name
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Rower Email
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Rower Cell
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School
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Grade
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Which Summer Learn to Row Session are you registering for?
LTR Session 3 - 8/16-20/2021 (Cost: $425)
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
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Parent/Emergency Contact Cell Phone
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Parent/Emergency Contact Email
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Health Insurance Company and ID:
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Any allergies or illnesses we should know about:
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