Adult Summer Registration

Date of Registration*
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address City State ZIP Code
Email*
I am primarily interested in
- Sculling
- Sweep
- Both
- I am a captain already
I am interested in competiting
- Yes
- No
- Maybe
Have you signed up at US Rowing and signed the waiver?*
- Yes, I am already a member and have checked my status
- Yes
- Not yet, next step
Go to US Rowing and, if you are not already a member, join the basic individual membership and SIGN THE WAIVER. Your registration with a CLCR program is not complete until you are registered with US Rowing and have signed the waiver. Put in Coventry Lake Community Rowing Inc. for Club or Team Name Our Club Code is H4YWA.
I am signing up for*
Seasonal Membership includes parking pass
Typical season is May 20-Oct 8 Seasonal Fee includes all standard programming (sculling and/or sweep)
- Full-Season Adult/Captain/Captain Plus
- Monthly (Novice/Intermediate/Advanced)
- Learn2/By Appointment
Emergency Contact Phone #
Total
$0.00