EAST END ROWING
2008 SUMMER PROGRAM
Open to high school
and college students.
Program Dates: Starts Monday June 23rd and ends Friday
July 25th.
Weekly Practice Schedule: Monday through Friday
Eligibility: High School or college students with at
least one year of rowing experience.
Cost: $125
If interested: Fill out the application and medical form
below. Mail all 2008 summer forms with check payable to “East End Rowing Summer
Program” to:
2008
APPLICATION
East End Rowing Summer
Rowing Program
Name:
_______________________________________
Street_________________________________________________________________________City_____________________________________
State __________ Zip___________________
Phone-Home: ______________________________Phone-Mobile:
________________________
Email: ______________________________________Birth Date:
_________________________
Current school: ______________________________Yrs experience_______________________
Competitive experience:
______________________________________________________________________________
Physical
Condition
1. Date of most recent physical examination:
__________________________________________
2. Name and phone number of doctor:________________________________________________
3. Any physical impairment: _______________________________________________________
Applicant’s
Signature: _______________________________ Date: __________
PARENTAL
CONSENT FOR ALL APPLICANTS UNDER 18 YEARS OF AGE
We,
____________________________________________________________
(please print clearly)
the
parents/legal guardians of ____________________________________ authorize our
child to participate in East End Rowing’s 2008 Summer
Program. We believe our child is physically, mentally and emotionally qualified
to participate in all aspects of the Summer Program.
We
understand that rowing is a sport posing significant risks and release East End
Rowing, its coaches and other contractors, its directors, officers and
employees from any and all liability arising from my child’s injury, death or
loss of property during the Summer Program and so long as s/he is a member of East
End Rowing Institute.
We
agree to be responsible for any uninsured damage to the property of others
caused in whole or in part by our child during the Summer Program.
Parent or guardian:
________________________________________ Date: __________
Signature:____________________________________________