Tell us what you'd like to do?2019 Program*Select Your ProgramCompetition Juniors: Ages 12-18Juniors Intro to Paddling: Session I June 10-26 (3 weeks)Would you like to register for a second session?*YesNo2019 Program 2*Select Your ProgramCompetition Juniors: Ages 12-18Juniors Intro to Paddling: Session I June 10-26 (6 practices)Total Due $0.00 Contact InfoItems with * are required fieldsReturning Member*YesNoAthlete* First Last Athletes Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Athlete's Home PhoneAthlete's Mobile PhoneAthlete's Email* Athlete's Birth Date* Date Format: MM slash DD slash YYYY Athlete's Gender*MaleFemalePreferred Contact MethodEmailTextFacebookAbout AthleteSchool AttendingCurrent GradeHow did you hear about RCBC?Paddling Experience*BeginnerIntermediateAdvancedOther sports you participate inT-Shirt size*SmallMediumLargeX-LargeXX-LargeParent's InfoMother / Guardian 1 First Last Mother / Guardian's Mobile PhoneMother / Guardian's Email Father / Guardian 2 First Last Father / Guardian's Mobile PhoneFather / Guardian's Email Emergency Contact InfoEmergency Contact Name (non-parent)* First Last Emergency Contact Phone*Emergency Contact Relation*Photo ReleaseI understand that photos and videos will be taken of RCBC (Rice Creek Boat Club) members throughout the season both at practices and competitions. And I understand that I (or my child) may end up in one or more of these pictures or videos as either the focal point or in the background. I give my consent for the RCBC to use my (or my child’s) photograph and likeness, to be used in its publications, promotional video/slideshow, and website. I hereby waive any right to inspect or approve the finished photographs/videos or printed or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown. I release the RCBC from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below.Have you read and do you agree to the Photo Release?* Yes, I have read and agree to the Photo Release Date* Date Format: MM slash DD slash YYYY Athlete Signature*Parent SignatureNameThis field is for validation purposes and should be left unchanged. Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to email this to a friend (Opens in new window)
