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General Info:
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Birthdate
*
MM/DD/YYYY
Must be 18+ to row with PLRA
Can you swim?
*
Yes
No
Inability to swim does not prevent you from rowing. However it will be required that you wear a personal flotation device while on the water.
Do you have any medical conditions that may interfere with rowing?
*
Yes
No
Emergency Info:
Emergency Contact Name
*
First
Last
Phone Number
*
Other Info:
Which session would you like to attend?
*
Option 1
Option 2
Option 3
How did you hear about PLRA?
*
Internet, Referral, Our Ad, etc.
Please add Learn to Row to your cart if paying with credit card after submitting your application.
Submit
Home
Make a Donation
Covid-19 Policies
About
Coaches
Coxswain
Programs
Sweep
Scull
Learn to Row
Gallery
Contact Us
Members
Board Meeting Minutes
Membership Dues & Fees
Forms
Board & Officers
Financial Documents
>
Club Documents