2022 SPECIAL CIRCUMSTANCE PERMISSION REQUEST AND RELEASE
Use this form if your rower will NOT be riding on the Bus with the SLRC team either TO the Regatta or FROM the regatta.  

The SLRC Regatta Travel Policy expects that all team members are to travel with the team. Separate transportation and/or lodging requests must be submitted to the Junior Program Coordinators at juniorprogram@stlouisrowinclub.com  at least 10 days in advance of the regatta departure date. It is understood and agreed that by signing this Request Form, Rower and Rower’s Parent/Guardian acknowledge that this constitutes a waiver and release of liability of SLRC in connection with this Request. SLRC will not permit Junior Rowers to drive themselves or other Junior Rowers to or from regattas. Rowers not traveling with the team or staying with the team must nonetheless pay the full amount of the regatta fees charged for the event.

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Date *
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DD
/
YYYY
The undersigned requests that: *
Excused from the regatta:
OKC (March 18-19)
Cincy Invite (April 8-9)
Midwest Championships (May 20-22)
Select 1 or more
For the following Reason:
Alternate Transportation:
Clear selection
Rower will Ride with: (Name)
Reason they are not taking club transportation:
The Rower will be accompanied at all times when the Rower is not with the team, by: *
Contact Number: (cell phone) *
Electronic Signature: *
Parent Name Submitting Form *
Parent Cell Phone Number: *
Submit
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