Schools Program/Junior Rower Registration

Please complete the details below for Junior rowers.

Participant Details

Name*

First Last

Date of birth*

Email*

Enter Email Confirm Email

Phone*

Current school program*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

T-shirt size*

Program includes Club tee and drink bottle. Sizes are Canterbury Men's sizing. Check your size here.

Parent/Guardian Contact

Name*

First Last

Realtionship to you*

Parent/Guardian email*

Enter Email Confirm Email

Phone*

Rowing Experience

Are you a competent swimmer?*

Yes
No

Rowing is a water sport and it is your responsibility to ensure that the participant is comfortable in the water should a boat capsize, sink or swamp. We may not accept an application from non-swimmers.

Please include details of previous rowing experience below.*

Are there any other factors that we need to be aware of such as medical conditions or disabilities?*

Yes
No

We need to ensure your safety and that of other members, if you answer yes, you will be asked to include any details that you think may be relevant in the next step.

Please include details of medical issues, disabilities or other relevant information below.*

Terms and Conditions

A parent or guardian is required to agree to the Terms and Conditions of Canberra Rowing Club. Please complete the below section.

Constitution and Code of Conduct*

The participant agree/s to abide by the Canberra Rowing Club Member Protection Policy and Codes of Behaviour.

Name of Parent/Guardian completing this section*

First Last