Junior Women Fall 2009 Information Sheet
First Name
Last Name
Which program are you registered in?
Select a Program
Competitive
Developmental
Not Sure
Address
City
State
Zip
Birthdate (MM/DD/YYYY)
Home Phone #
Cell Phone #
Athletes email address (primary)
Athletes email address (secondary)
Parent/Guardian email address #1
Parent/Guardian email address #2
Side/Cox
Port
Starboard
Both
Coxswain
Select an Option
High School
Year in School
Select an Option
Freshman
Sophomore
Junior
Senior
Best 2k erg time
Best 6k erg time
JL Long Sleeve Shirt Size
Select a Size
I already have a Fall uniform
XS
S
M
L
XL
Name of Emergency Contact
Relationship to Emergency Contact
Cell Phone Number of Emergency Contact
Comments/Questions
Select races you are UNABLE to attend
Head of the Potomac 9/27/09
Occoquan Chase 10/11/09
Head of the Charles 10/17-10/18/09
Head of the Schuylkill 10/24-10/25
Head of the Occoquan 10/31/09