Lake Brantley Summer Rowing Camp

Rower Information

First Name

Last Name

Date of Birth

Address

Address 2

City

State

Zip

Gender

What grade will the rower be in this fall?

What school will the rower be attending this fall?

Does the rower have asthma?

Can the rower swim?

Parent 1 Information

First Name

Last Name

Email

Phone Number

Parent 2 Information

First Name

Last Name

Email

Phone Number

Emergency Contact

Name (First and Last)

Phone Number

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