Register Winter Training - Perrysburg Rowing

All answers are REQUIRED. Please answer "n/a" if necessary.

Rower's Last Name

Rower's First Name

Gender

Preferred pronoun

Rower's Cell #

Rower's Email

Rower's Address

Address Line 1

Address Line 2

City

State

Zip Code

Grade

Birthdate

How many seasons of high school rowing?

For example, Spring and Fall would count as 2 seasons.

If new to high school rowing, did the student participate in a Learn to Row camp or the Juniors Program?

Parent or Guardian Name

Parent or Guardian Email Address

Parent or Guardian Contact Number

Parent or Guardian #2 Name

Parent or Guardian #2 Email Address

Parent or Guardian #2 Contact Number

Preferred Emergency Contact Name

Preferred Emergency Contact Phone

Emergency Contact Name #2

Emergency Contact Phone #2

Rower's Layout #2

Photos and video may be taken by coaches, rowers or family members at Perrysburg Rowing events. Please let us know if Perrysburg Rowing can use media in which you appear in our marketing materials and/or news announcements.

Yes
No

Please share any additional information that you think would be valuable for us to know about your rower:

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Medical Release info:

The information collected is for administrative purposes and is also provided to coaches to ensure they are aware of health issues. We respect the privacy of all our athletes and will not share information provided with anyone outside of Perrysburg Rowing.

Parent statement: "In the event that reasonable attempts to contact me have been unsuccessful, I hereby give consent for the admission of any emergency treatment deemed necessary and/or the transfer of the student to the nearby hospital. This authorization does not cover major surgery unless the medical opinions of two (2) other licensed physicians or dentists, concurring in the necessity for such surgery, are obtained before the surgery is performed."

Are there any health conditions that the rowing coach and/or club officers should know about?

Yes
No

If yes, please describe below:

Does your rower have any allergies (including food allergies) that we should be made aware of?

Yes
No

If yes, please list allergy (including food) and required treatment:

Please list any food restrictions your rower has (in addition to allergies):

A large part of being on the rowing team and a family member of a rower is participating in regattas. This includes cooking meals on site! Please list any food restrictions your rower has (in addition to allergies) such as dairy intolerance, vegetarian, etc.

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Perrysburg Rowing Members Code of Conduct

Perrysburg Rowing members (rowers and family members) are required to adhere to the CODE OF CONDUCT plus the special rules when traveling to regattas. If an infraction of the rules occurs, the coaches will determine what discipline, if any, will occur at the regatta. This discipline may include the athlete not being able to row at the regatta and/or the parents/guardians being asked to immediately pick up their son or daughter. Upon return from the regatta, the rule infraction will be reported to the Perrysburg Rowing Executive Board who will make a final recommendation to the Perrysburg Rowing Coach on the appropriate disciplinary action.

CODE OF CONDUCT

It is expected that Perrysburg Rowing (PR) rowers will…

Portray PR in a positive manner at all times.
Demonstrate and uphold high standards of good sportsmanship at all times.
Be punctual for practice and crew functions.
Support others on the team at home and away races.
Give proper respect to EVERYONE including parents, volunteers and teammates.
ALWAYS adhere to instruction/discipline from ANY coach.
Come to practice prepared to workout, in appropriate clothing and running shoes.
Use equipment as properly instructed.
Obey the Travel Policy for away races.
Not possess or use narcotics, alcoholic beverages, drugs, controlled substances, tobacco products, dangerous weapons or instruments.
Not participate in fighting, horseplay, vandalism, hazing, dishonesty, stealing or violations of the rights of others.
Not use obscene language or gestures.
Follow rules of racing at ALL times.
Be aware of the Toledo Rowing Foundation Code of Conduct as well as US Rowing as they apply as well.
Romantic relationships within PR are allowed. However, while participating in practice and regattas it is expected that those athletes respect the team and its members by refraining from any distractions while with the team and give the team 100% of their attention.

Signatures

Signatures below confirm the following: I agree to the above CODE OF CONDUCT AND SPECIAL TRAVEL RULES. I understand that non-compliance may lead to contacting my parent/guardian and may lead to removal from the team. This contract is in effect for as long as I am rowing with Perrysburg Rowing.

Rower Signature

Clear Signature

Rower "signature" (this digital signature confirms receipt and acknowledgement of Code of Conduct)

Parent Signature

Clear Signature

Parent "signature" (this digital signature confirms receipt and acknowledgement of Code of Conduct)

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Perrysburg Rowing General Release Waiver

I hereby acknowledge that I am voluntarily participating in sports activities organized by the Perrysburg Rowing Team. I understand that these activities involve inherent risks, including but not limited to bodily injury, property damage, and death, which may occur as a result of my participation. Therefore, I agree to the following terms:

RELEASE AND WAIVER OF LIABILITY: I myself, spouse, and child, hereby release and forever discharge the Perrysburg Rowing organization, its directors, officers, agents, employees, and volunteers (collectively, the "Released Parties"), from any and all liability, claims, demands, and causes of action that I may have now or in the future, arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or to any property belonging to me, whether caused by the negligence of the Released Parties or otherwise.

ASSUMPTION OF RISK: I myself, spouse, and child, understand and acknowledge that my participation in the sports activities organized by the Perrysburg Rowing organization involves inherent risks, including but not limited to bodily injury, property damage, and death. I voluntarily assume all risks associated with my participation in these activities.

INDEMNIFICATION: I myself, my spouse and child, agree to indemnify, defend, and hold harmless the Released Parties from any and all claims, demands, and causes of action, including attorneys' fees and costs, arising out of or related to my participation in the sports activities organized by the Perrysburg Rowing organization.

ACKNOWLEDGEMENT OF UNDERSTANDING: I myself, spouse, and child have read this sports waiver, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue the Released Parties for any injury, death, or damages that may result from my participation in the sports activities organized by the Perrysburg Rowing organization.

By typing my name in the box below, I acknowledge that I have read and fully understand this sports waiver, and I voluntarily agree to its terms.

Rower's Name

Parent's Name

Parent's Signature

Clear Signature

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Payment

Payment must be made in order to register.

Winter Training Registration Fee

Price: $150.00

Credit Card Payment

Perrysburg Rowing
Winter Training Registration

Winter Training:

Schedule & Locations:

Registration Info:

Refund Policy:

Rowing Winter Training Registration Form

Medical Release info:

Perrysburg Rowing Members Code of Conduct

Perrysburg Rowing General Release Waiver

Payment

Perrysburg RowingWinter Training Registration

Winter Training:

Schedule & Locations:

Registration Info:

Refund Policy:

Rowing Winter Training Registration Form

Medical Release info:

Perrysburg Rowing Members Code of Conduct

Perrysburg Rowing General Release Waiver

Payment

Perrysburg Rowing
Winter Training Registration