Northeast Rowing Center: Application Form

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2001 Application Form Complete Form and Mail with Deposit Check Download form in Word format Or print this page using your browser Print button

__ Session I - Aug. 18-24 (Sat-Fri)
__ Session II - Aug. 25-31 (Sat-Fri)

__ Coxing Program
__ Rowing Program

__ Port side
__ Starboard side
__ Either (but prefer ________)

Fee $720 per Session
(Fee includes instruction, room, board and bus transport from/to Portland Jetport)

Name__________________________________

Address_________________________________

City_____________________ State_____ Zip ___________

Telephone - Home(____)_________ Work/School (____)_________

Email address: _________@________________ Male Female
DOB ____/_____/____ Height _____ft. ______in. Weight _________ lb.

Transportation: Air Auto Undecided

Have you attended Northeast before: Yes No

Experience & Goals

Experience (years): Rowing __ , Sculling __ , Coxing __, Coaching __

School name ____________Grad. yr. ___ Coach’s name ___________

College name ___________Grad. yr. ___ Coach’s name ___________

Club name _______________ Coach’s name ___________

Goals - Briefly explain what you wish to accomplish at the Center: ______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Are there any specific areas or topics that you wish to know more about?
________________________________________________________________________

____________________________________________________________________________________

A deposit of $250 with registration is required.

Registrations are accepted on a space available basis.
Cancellations are non-refundable within two weeks of session commencement unless a replacement is available. Cancellations earlier than two weeks before session commencement are refundable less a $25 cancellation fee.

Signed ________________________________ Date ______

Complete and return with registration fee to
Northeast Rowing Center, P.O. Box 2060, Duxbury, MA 02331

Northeast Rowing Center
P.O. Box 2060
Duxbury, MA 02331
(781)934-6192 email@RowCamp.com


	__ Session I - Aug. 18-24 (Sat-Fri) __ Session II - Aug. 25-31 (Sat-Fri) __ Coxing Program __ Rowing Program __ Port side __ Starboard side __ Either (but prefer ________) Fee $720 per Session (Fee includes instruction, room, board and bus transport from/to Portland Jetport)
	Name__________________________________ Address_________________________________ City_____________________ State_____ Zip ___________ Telephone - Home(____)_________ Work/School (____)_________ Email address: _________@________________ Male Female DOB ____/_____/____ Height _____ft. ______in. Weight _________ lb. Transportation: Air Auto Undecided Have you attended Northeast before: Yes No Experience & Goals Experience (years): Rowing __ , Sculling __ , Coxing __, Coaching __ School name ____________Grad. yr. ___ Coach’s name ___________ College name ___________Grad. yr. ___ Coach’s name ___________ Club name _______________ Coach’s name ___________ Goals - Briefly explain what you wish to accomplish at the Center: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Are there any specific areas or topics that you wish to know more about? ________________________________________________________________________ ____________________________________________________________________________________ A deposit of $250 with registration is required. Registrations are accepted on a space available basis. Cancellations are non-refundable within two weeks of session commencement unless a replacement is available. Cancellations earlier than two weeks before session commencement are refundable less a $25 cancellation fee. Signed ________________________________ Date ______ Complete and return with registration fee to Northeast Rowing Center, P.O. Box 2060, Duxbury, MA 02331