If the applicant is under 18 years of age please complete the following information:
Health Information: Do you have any physical disorder or health condition (such as asthma, diabetes, heart problems, seizures, or back, joint or muscular problems, allergies) or any other condition that may affect your ability to row safely, or that your coach should know about?
Waiver of Liability: I understand that my participation involves rowing in an open craft in a physically demanding activity where there may be unusual risks to my health and safety. In addition, I understand that certain on-shore activities such as carrying boats, may pose unusual risks to my health and safety. My decision to participate in this program is made by me in full recognition of these risks and is entirely voluntary. I represent that I am in adequate physical condition to participate in these activities and that I will notify the coach or board of Teaneck Rowing Club if I develop any physical or health condition that may affect my ability to participate in these activities without posing a danger to my health or safety or the health and safety of others. In consider of your acceptance of this application, I hereby agree for myself, my executors, administrators and assigns to hold harmless the Teaneck Rowing Club, its board of directors, officers, employees, representatives, successors, agents and assigns form all liability on account of injury, loss, claim or damage to my health, well-being or property during my participation in this program.
If "yes," please explain:
Ability to Swim Certification: I hereby certify that I am able to swim and can remain afloat for at least 5 minutes.
By clicking on "submit" I certify that I am the person represented in this registration, or that I am the parent / guardian of the minor being registered.
Please tell us a little about yourself:
Tell us how much rowing experience do you have (if any)? Where did you row before? Do you play other sports? What draws you to rowing? Have you had any significant rowing successes? What do you hope to gain from participating in the program you chose? And tell us anything else you would like to share?
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