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Registration

Thank you for your interest in rowing with us!

Prior to participating in BAYR, all rowers must

1. Submit registration and payment.

2. Sign and return rowing releases.

3. Watch rowing safety video.

4. Review student and parent handbook.

Registration

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1 Rower's Information
2 PARent's Information
3 Emergency Contact
4 Medical Information
Name
Birthday
Address
City
Zip
Phone
Week(s) of CampChoose at least 1
Type of Rower
Previous Rowing Experience?
School
Name of Parent
Relationship
Address of Parent
City
Zip
Phone of Parent
Name
Relationship
Primary Phone
Alternate Phone
Name of Primary Physician
Physician's Phone
Date of Last Physical Exam
Rower's Current Weight
Rower's Current Height
Emergency ClauseIn the event I cannot be reached in an emergency, I here by give permission to Birmingham Area Youth Rowing, a division of Lake Purdy Rowing Club, to secure proper medical attention for my child as deemed necessary. This permission extends from minor first aid treatment to (under a doctor’s orders) hospitalization, and other medical procedures deemed necessary.
Is rower free of infectious diseases?
Is rower fit to participate in recreational sports?
Is rower current on all immunizations?
Other Limitations or RestrictionsPlease list any relevant medical conditions or medications.
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