Form Designer

2024 NYAC Summer Rowing Program

2024 Summer Rowing Program

First Name:

Last Name:

Current Address:

Permanent Home Address:

Contact Phone Number:

E-mail Address

Date of Birth:

Height:

Weight:

Current/Most Recent Club or Team:

Contact Info for a Coach for reference:

Current Boat/Seat (ex. JV 8, 3 seat):

Years of experience:

Date and result of most recent 2k:

Date and result of most recent 6k:

Date and result of most recent 5k:

Select:

A lot (raced occasionally in a sculling boat)

Extensive (train and race in sculling boats)

None

Some (practiced in a sculling boat)

Briefly list major accomplishments:

What are your goals for your summer rowing experience? What are your longer term rowing aspirations?