High School Registration

High School Registration Form

Rower's First Name

Rower's Last Name

Rower's Date of Birth

Rower's Phone Number

Rower's Email

Gender

Male

Female

What school will the athlete be attending in the fall?

Lake Brantley

Private School

Home School but lives in LBHS district

Other

What grade will the athlete be in this fall?

Freshman

Sophmore

Junior

Senior

Does the athlete have asthma?

No

Yes

Can the athlete swim?

Yes

No

Shirt Size

Adult Small

Adult Medium

Adult Large

Adult X-large

Adult 2XL

Address

Parent 1 First Name

Parent 1 Last Name

Parent 1 Phone Number

Parent 1 Email

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone Number

Parent 2 Email

Emergency Contact if parent cannot be reached

Full Name

Phone Number

Annual Registration/Equipment Fee (*required)

$135

*includes LBRA T-Shirt, polo no longer required

I would like to be billed:

Monthly - $242.00

Season - $1160.00 (5% discount if paid in full)

Annual - $2320.00 (10% discount if paid in full)

* There is a 2.9% + .30 processing fee added for the inital registration payment. Future monthly payments will by by HSA/Bank Account to be sent via separate invoice (credit card payments will only be available by request for additional payments). For any questions or if you do not receive required registration forms to sign, please contact membership@lakebrantleyrowing.org.