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AJR 2021 Fall Rowing Season Registration
September 7-November 9, 2021. Visit AnnapolisJuniorRowing.com/2021-ajr-fall-season/ for details.
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Rower Last Name, First Name
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Rower Email
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Rower's Birthday
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DD
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YYYY
Rower Cell
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Rower's Address (Street, City, Zip)
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School
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Grade for Fall 2021
8th
9th
10th
11th
12th
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How will you pay?1) Via Paypal (please include transaction fees): Pay $1022.58 to
annapolisjuniorrowing1@gmail.com
. 2) Via Check for $1,000: Written and mailed to Annapolis Junior Rowing, mailed to P.O. Box 6804, Annapolis, MD 21401.
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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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