Adult Masters Registration

Masters Registration Form

First Name

Last Name

Date of Birth

Phone Number

Gender

Male

Female

Does the athlete have asthma?

Yes

Can the athlete swim?

Yes

Address

Emergency Contact

Full Name

Phone Number

Time: Thursday 6:00pm - 8:00pm & Saturdays 10:00am - 12:00pm

Cost: $100 per month

* Make-up days will be scheduled on Saturdays where HS/MS have regattas. All adults are welcome, regardless of experience!

Annual Registration Fee (*required)

$100

I would like to be billed

Monthly - $100.00

* 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.