Visiting Rower Form

Visiting Rower
This form is for experienced rowers only. If you are visiting the Los Angeles area we would be happy to get you out in the beautiful Marina del Rey channels for a row... or two. Please complete the information below and the club secretary will get right back to you with more information.

* Indicates required field

Start date: *

End date: *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone *

Email *

Date of Birth (MM/DD/YYYY) *

Height (feet & inches) *

Gender *

Male Female

Which side do you row? *

Port Starboard Both

Skill Level *

Advanced Intermediate Novice

Rowing History *

Junior rowing Collegiate rowing Master rowing

Please provide detailed information about your sweep rowing experience. *

Current Rowing Club/School *

US Rowing Number (if you are from out of the country, please enter "none") *

Swimming *

I affirm that I can swim and tread water for 10min

Submit

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