Walter Johnson High School Crew, Inc.

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 If yes, have you submitted your $100 deposit to WJ CREW INC. ? YES NO Rower’s Name: _____________________________________ Address: ___________________________________________ Home Phone: ___ ____________ Cell Phone: ___ ______________ E-mail: __________________@_________ (PLEASE PRINT VERY CAREFULLY!!) 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: ______________________@______ (PLEASE PRINT VERY CAREFULLY) Father’s Name: _________________________ Father’s Work Phone: _____________________ Father’s Cell Phone: ______________________ Father’s E-mail: _____________________@____ (PLEASE PRINT VERY CAREFULLY) To which parents’ e-mail address should e-mail to be sent? Check one: ___Mother ___Father ___Both