Name of event ______________________________________________
Name of Club _______________________________________________
Please print or type Rower's names.
Last Name First Name
1. ___________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
4. ___________________________________________________________
5. ___________________________________________________________
6. ___________________________________________________________
7. ___________________________________________________________
8. ___________________________________________________________
COX _________________________________________________________
Subs (Maximum of 50%)__________________________________________
_____________________________________________________________
_____________________________________________________________
Contact Name _________________________________________________
Phone Number______________________ FAX _______________________
Email ________________________________________________________
Address ______________________________________________________
_____________________________________________________________