Westerville Crew

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Dedication, Teamwork, Desire

Winter Erging

Please complete all of the information below to complete the Winter Erging registration.

Thank you!

Winter Erging Registration

Rower Information

Season Year


Rower's first name	Rower's last name


Rower's home address	Rower's city	Rower's zip code


Rower's home phone	Rower's cell phone	Rower's email address


Rower's birth date	Rower's grade level	Rower's school

Rower Residence Information

With whom does rower reside?

Other Contact Information

Other contact	Other contact address	Other contact phone

Rower Health Information

List rower's allergies (if any)	List rower's medications (if any)	List rower's health concerns (if any)

How did you hear about us?	If other, please describe