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2020-21 AJR Winter Training Season Registration
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Rower Last Name, First Name
Your answer
Rower Email
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Rower's Birthday MM/DD/YYYY
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Rower Cell
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Rower's Address
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School
Your answer
Grade
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Which Option Are You Registering For
Option 1: $500 (Plus Y Membership) – 10 weeks at the YMCA (12.8-2.26.21)
Option 2: $250 (Plus Y Membership) - 10 week 2 days at YMCA
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How will you pay? 1) Via Venmo: Pay to @ThompsonDD (#0493) 2) Via Paypal (please include transaction fees): Pay to
annapolisjuniorrowing1@gmail.com
. ($515, $260) 3) Via Check: Written and mailed to Annapolis Junior Rowing, P.O. Box 6804, Annapolis, MD 21401.
Venmo
Paypal
Check
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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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