MAROON BLADES - Junior Rowing Program Sign-Up – Summer 2017
Name (Last)____________________________(First)________________________
Address____________________________________________________________
Home #_______________________________Cell #_________________________
Email Address_______________________________________________________
High School Name____________________________________________________
DOB________________________Grade entering in 9/2017__________________
A one-time swim test certification is required for all Learn-To-Row students/first-time rowers
and can be completed at a YMCA or by a certified lifeguard. The Swim Test Certification Form is
on the Ridgewood Crew website, “Forms” section. Please attach the swim test certification to
this form, if required.
Please summarize prior rowing experience:
______________________________________________________________________________
______________________________________________________________________________
Programs:
ELITE/COMPETITIVE/INTERMEDIATE -- 6/26 - 7/28
(Select 6, 5, 4 days/week. 6 days/wk = $400; 5 days/wk = $350; 4 days/wk = $300
Monday-Friday -- 7 - 9 AM or 5 - 7 PM; Saturday -- 8 - 10 AM
Please advise time and which days rower will be attending:
NOVICE -- 6/26 - 7/28
(Select 3 days/wk -- Tuesday - Friday, 9:30-11:30 AM; 3 days/wk = $250
Please advise which days rower will be attending:
COLLEGE PROGRAM -- 6/5-7/28/17
(Select up to 5 days/wk) -- Monday-Friday -- 7 - 9 AM; Cost is $300
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Learn To Row:
____LTR 1 -- June 3, 4, 10, 11, 17, 9 - 11 AM -- $450
____LTR 2 - - June 3, 4, 10, 11, 17, 11 - 1 PM - -$450
____LTR 3 -- July 10-14, 2 - 4 PM -- $450
____LTR 4 -- July 17-21, 2 -4 PM -- $450
____LTR5 -- July 24-28, 2 4 PM -- $450
____LTR6 -- Sept. 9, 10, 16, 17,23 -- $450
____LTR7 -- Sept. 30, Oct. 1, 7. 8. 14 -- $450
RACES:
IDR - June 30, July 1, 2, 2017 in Philadelphia
Philadelphia Youth Regatta - Sat., July 22, 2017
Canadian Henley -- Sun, Aug 6 - 13, 2017 (Tentative/select boats)
Parent/Guardian Information:
Guardian(s) Name______________________________________________________________________
Guardian (s) Home Phone #_____________________________ Cell ______________________________
Guardian(s) Email Address_______________________________________________________________
Special Instructions:
A completed US Rowing Waiver (listed under “Forms”) must be attached to this form.
All programs must be prepaid, with the check payable to Maroon Blades. Receipt of check is required
for participation confirmation. No refunds will be provided for athletes who drop out of the program.
Please mail the completed Sign-Up Sheet, US Rowing Waiver (if applicable), Swim Test Certification (if
applicable), and check to:
Liz Lavin/Maroon Blades
663 Wyndemere Avenue
Ridgewood, NJ 07450
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