JUNIOR REGISTRATION

Athlete's Name *
Athlete's Name
Athlete's Home Address *
Athlete's Home Address
Athlete's Cell Phone
Athlete's Cell Phone
Athlete's Birthdate *
Athlete's Birthdate
Gender *
Expected Graduation *
Parent/Guardian #1 Name *
Parent/Guardian #1 Name
Parent/Guardian #1 Cell Phone *
Parent/Guardian #1 Cell Phone
Parent/Guardian #2 Name
Parent/Guardian #2 Name
Parent/Guardian #2 Cell Phone
Parent/Guardian #2 Cell Phone

Checks should be made payable to Pittsburgh Rowing Club and mailed to 200 Mingo Road, Wexford, PA 15090.  Bring completed forms with you on the first day of practice.