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Season:
Summer Learn to Row |
Squad:
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Session
Note 2011 Session Dates:
- June 20-24 from 6-8 p.m.
- July 11-15 from 6-8 p.m.
- Aug 8-12 from 6-8 p.m.
- REGISTER FOR ALL 3 SESSIONS - SAVE $$$
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Athlete Information: |
First Name Middle Initial
Last Name
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| DOB
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| Email Phone |
| Address: |
| City:
State:
Zip: |
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Parent / Guardian / Custodian Information |
| Mother Name |
Father Name
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Home or Work
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Home or Work
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| Cell
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Cell
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| Mother email
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Father email
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Certification and Preliminary Electronic Signature - Please manually check each box below to verify your acknowledgement of Club policies and procedures. It is important you read each item carefully, as you will be held responsible for their content. Futher, you will be required to complete this information on a manual form and provide formal signature with your other completed forms and payment by mail.
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We have provided at least one valid email address which we will check daily for news, possible changes to practice and regatta schedules and other information which the coaches might want to send. |
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We certify that we (parents and student-athlete) have read and understand the Dublin Crew documents which are
available on this Club's Web site (see adjacent sidebar for download links) and agree to abide by them. These documents are: Code
of Conduct, Harrassment Policy, Travel Policy, Refund Policy, Attendance Policy, Chaperone Guidelines, Driver Guidelines, and the High School Rowing Agreement with the City of Columbus. |
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We verify that all medical, contact, and insurance information is up-to-date and current.We verify that all medical, contact, and insurance information is up-to-date and current. |
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We verify that the waiver on file with Dublin Crew is valid for the season being registered for with this document. |
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We acknowledge that is is our responsibility to check the web site on a regular basis for pertinent information regarding
Club activities and expections. The web site address is: www.dublincrew.org. |
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We verify that our student-athlete can swim 25 meters or the equivalent of one standard lap in a pool. |
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We acknowledge that it is our responsibility to transport our athlete to each regatta and to provide appropriate lodging
for the trip. If the Club offers a bus or crew rooms for a regatta, we agree to turn in all forms and money due by the
published deadlines. Should we be unable to transport our athlete, we will make arrangements with other Club families. |
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We acknowledge that failure to return this form signed by both the Participant and his/her parent or guardian renders the Participant ineligible to be a member of Dublin Crew. |
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We acknowledge that rowing is a team sport and attendance is mandatory. We verify that we understand that our athlete
is allowed one unexcused absence per season . We acknowledge that there are consequences for missing practice and for
being late to practice. We understand that just because our school district calls a weather related day, the Club may not. |
By checking below, you indicate the intent to submit your completed Registration Packet with signatures by mail with your required payment and agree to the above.
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Student Intent to Sign
Parent Intent to Sign
Dated
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- This qualifies as Pre-Registration Only -
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