Dallas Rowing Club Junior Athlete Registration

IMPORTANT: If you are brand new to the team, please make sure that you have spoken to the coach prior to registering for the team. 

Please register your athlete for the 2017 Season using the form below. For questions regarding the registration form, please contact coach Andy at andy@andyivey.com .

Athlete Contact Info
Athlete Name *
Athlete Name
Birth Date *
Birth Date
Athlete's Address *
Athlete's Address
Athlete Cell Phone (If Applicable)
Athlete Cell Phone (If Applicable)
Home Phone *
Home Phone
Parent Contact Info
Primary Parent Contact Name *
Primary Parent Contact Name
Primary Parent Contact Cell Phone *
Primary Parent Contact Cell Phone
Secondary Parent Contact Name
Secondary Parent Contact Name
Secondary Parent Contact Cell Phone
Secondary Parent Contact Cell Phone