Texas Junior Rowing 
Royal Canadian Henley Camp

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Athletes
Registration Form

Please fill out the form to register for the camp.  Interested athletes must register by June 10, 2010.  A deposit of $150 needs to be paid by April 3, 2010 to secure your spot in the camp.  
First Name:
Last Name:
E-mail Address:
Phone:
Complete Mailing Address:
City:
State:
Emergency Contact 1- Name:
Emergency Contact 1- Relationship:
Emergency Contact 1- Phone Number:
Emergency Contact 2- Name:
Emergency Contact 2- Relationship:
Emergency Contact 2- Phone Number:
Zip Code:
Gender:
Age:
Birthdate:
Affiliation:
2k PR:
Date of 2k PR:
Rowing Preference (select all that apply):
 Sculling
  Coxswain
  Starboard
  Port
Any Medical Conditions the Coaches Should be Aware of:
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