Summer Rowing Camp Application Url Camper Information First Name * Last Name * Street Address * City * Province * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Phone * Email * Height * Weight * Gender M F Date of Birth * Parent/Legal Guardian * Emergency Contact Information Name * Phone * Relationship to Camper * Family Doctor Phone Health Card # Allergies / Medical Conditions Swimming Ability * Poor OK Good Very Good Excellent Previous Experience I, the undersigned, hereby give permission and approval for my son/daughter to participate in the 2022 Brockville Rowing Club Summer Camp program. I release the Brockville Rowing Club Inc., its agents and employees from all liability with respect to any claim for loss or injuries however caused as a result of my child’s participation in the Summer Rowing Camp program. Signature of Parent/Guardian * Date of Signature * ** You can do multiple registrations for more than 2 weeks or if you want to do both half and full days PRICES: Half Days: 1 Week – $275 2 Weeks – $450 Full Days: 1 Week – $450 2 Weeks – $800 Captcha Introduction to Rowing Pathway Summer Camps Adult Recreational Program Competitive Athlete Pathway Competitive Level 1 Competitive Level 2 Competitive Level 3 & U21/U23
