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General Info:
*
Indicates required field
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
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 any medical conditions that may interfere with rowing?
*
Yes
No
Emergency Info:
Emergency Contact Name
*
First
Last
Phone Number
*
Vehicle Info:
Make and Model
*
License Plate
*
Other Info:
Team to Join
*
Competitive
Masters
Novice
Each session is limited to 18 people. If the session you select is full, we will work to get you into another one, or put you on the wait list in case someone drops out.
T-Shirt Size
*
Small
Medium
Large
X-Large
How did you hear about PLRA?
*
Internet, Referral, Our Ad, etc.
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Home
Make a Donation
About
Coaches
Programs
Sweep
Scull
Learn to Row
Contact Us
Members
Board Meeting Minutes
Membership Dues & Fees
Forms
