Louisville Rowing Club - Application form

DATE: ___________________ DATE OF BIRTH (for competition classification) _____________________________

NAME: ________________________________________________________________________________________

ADDRESS: _____________________________________________________________________________________

TELEPHONE: (Home)___________ (Work)___________ E-MAIL ADDRESS: ________________________________

WHOM SHOULD WE CONTACT IN CASE OF EMERGENCY: _____________________________________________

Telephone: ______________ Relationship: _______________________

EXPLAIN ANY HEALTH/MEDICAL PROBLEMS OF WHICH WE SHOULD BE AWARE:

_______________________________________________________________________________________________

PREVIOUS ROWING EXPERIENCE: _________________________________________________________________

AREA OF INTEREST (check as many as apply):

	Lessons		Recreation		Sweep rowing (crew)
	Sculling		Competition		Coxing

HOW DID YOU LEARN ABOUT LOUISVILLE ROWING CLUB? ____________________________________________

DUES:
	General Membership (runs on calendar year basis, and may be prorated at $50 per quarter for those joining for the first time after the first quarter of the year)	$225.00
	Trial Membership (One time only, three months - age 18 and over)	$50.00
	Junior Membership (Full-time student under age18 - Payment due June 1)	$150.00
	College Membership (Out-of-state student under age 22 - rowing during summer and holidays only)	$100.00
	Adaptive Program (No dues for volunteers* rowing only with Adaptive Program)*	$50.00

Any exceptions to the dues guidelines, as well as designation as a student or 20 scholastic team member, are subject to the approval of the Board of Directors. No new novice memberships will be accepted after September 30 or at the end of the third quarter. Individuals with prior rowing experience will be accepted as new members.

BOAT STORAGE: Boats privately owned by members may be stored in club boathouses, space permitting, for a fee. Please contact the Boathouse Manager or a member of the Board to make arrangements for boat storage.

COMMENTS: ____________________________________________________________________________________

Revised 1/2000