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Form
2: Walter Johnson Crew 2014 Rower Information Form
Please PRINT LEGIBLY, particularly on e-mail addresses so that you will receive information. RETURNING ROWER? Circle one: YES NO Rower’s Name: _____________________________________ Address: ___________________________________________ Home Phone: ___ ____________ Cell Phone: ___ ______________ E-mail: [email protected]_________ Date of birth: ___/___/______ AGE: __________ Grade: _____ Circle One: Male / Female Height:________ Weight:_____________ Mother’s Name: ________________________ Mother’s Work Phone: ___________________ Mother’s Cell Phone: ____________________ Mother’s E-mail: [email protected]______ Father’s Name: _________________________ Father’s Work Phone: _____________________ Father’s Cell Phone: ______________________ Father’s E-mail: [email protected]____ To which parents’ e-mail address should e-mail to
be sent?
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