Rower's Name *

First Name

Last Name

Parent Name *

First Name

Last Name

Rower's Phone *

(###)

###

####

Parent's Phone *

(###)

###

####

Date of Birth

MM

DD

YYYY

Will you be attending Geelong Winter Sculling *

Winter sculling is a weekly single scull, a handicapped race held on the Barwon and highly encouraged for all Winter Scullers. (Please note: Transport to and from Geelong each week is to be organised by rowers' families).

Yes - Interested

No - Not Interested