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2018 Youth Summer Camp
Camp Selection
Camp Type
*
$179
-
One week summer camp
Camp Date
*
Please select your class date. Classes are held Mon - Thursday, 9:30 AM - 2:30 PM
select one
July 2-5
July 9-12
July 16-19
July 23-26
July 30-Aug 2
Aug 6-9
Aug 13-16
How did you hear about us?
*
Please indicate how you heard about Everett Rowing.
select one
Referral from a current ERA athlete
Referral from a former ERA athlete
School Flier
Facebook
Web search
Saw you on the river
Suggested by a friend
Bus Advertising
Mukilteo Beacon
Poster at work or at a business
Other
Parent Contact Info
Parent name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Parent Phone
*
Parent Email
*
What is your parent / main contact email address?
Verify Email
*
Athlete Information
Name
*
First Name
Last Name
Gender
*
Female
Male
Athlete Birthdate
*
(mm/dd/yyyy)
Athlete Email Address
Athlete Cell Phone
What school do you attend?
What is your high school graduation year?
select one
2019
2020
2021
2022
2023
2024
2025
Emergency Contact and Medical
This is for a spouse, friend, or relation to be contacted in case of emergency.
Emergency Contact Name
*
First and Last name
Emergency Contact Phone
*
Allergies
List any known allergies
Medical Conditions
List any medical conditions including respiratory. Athletes should consult their doctor before taking a rowing class.