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  • Summer Clinic Registration Page 1

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    Cheyenne Poskey
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    The document is a registration form for rowing clinics offered by New Bedford Community Rowing. It requests information such as the participant's name, address, emergency contacts, and which session they want to enroll in. There is a $100 fee for all sessions. Transportation details are also collected, such as whether the child has permission to walk home. Medical information and special needs are requested in case of emergencies during the clinics.

    Original Description:

    Participant Information, Session Selection, and Transportation agreement

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    © Attribution Non-Commercial (BY-NC)

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    The document is a registration form for rowing clinics offered by New Bedford Community Rowing. It requests information such as the participant's name, address, emergency contacts, and which session they want to enroll in. There is a $100 fee for all sessions. Transportation details are also collected, such as whether the child has permission to walk home. Medical information and special needs are requested in case of emergencies during the clinics.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    23 views1 page

    Summer Clinic Registration Page 1

    Uploaded by

    Cheyenne Poskey
    The document is a registration form for rowing clinics offered by New Bedford Community Rowing. It requests information such as the participant's name, address, emergency contacts, and which session they want to enroll in. There is a $100 fee for all sessions. Transportation details are also collected, such as whether the child has permission to walk home. Medical information and special needs are requested in case of emergencies during the clinics.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    CITY NEW BEDFORD

    PARKS, RECREATION, AND BEACHES


    And NEW BEDFORD COMMUNITY ROWING

    New Bedford Community Rowing Clinic Registration


    ________________________________________

    ________________________________________

    Participant Name

    Name of Signing Adult

    ________________________________________

    ________________________________________

    Home Address

    Home Phone

    ________________________________________

    ________________________________________

    Cell Phone

    Email

    ________________________________________
    Emergency Contact 1

    ________________________________________
    Phone Number of Emergency Contact 1

    ________________________________________

    ________________________________________

    Emergency Contact 2

    Phone Number of Emergency Contact 2

    Please select one or more clinic sessions:


    ___ Session 1, July 8th -July 12th ___ Session 2 , July 22ndJuly 26th ___ Session 3 , August 5th - 9th
    *Fee for all sessions is $100. Please make checks payable to New Bedford Community Rowing

    About the Participant


    ________________________________________

    ________________________________________

    Participant Age and Grade

    School

    ______________________________________________________________________________________
    Special Needs/Allergies/ Medications
    Transportation/ Pick Up Information: I understand that NB PRB and NB Community Rowing are only responsible for supervising my child between the time the child checks into the program and the time the
    child checks out. I am aware that if my child checks out of the program he/she will not be allowed to reenter.
    My child has permission to walk home: ___Yes ___No

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