Walter Johnson High School
Crew, Inc.

Rowers
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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
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