Fall Registration Form

The East Lyme Rowing Association offers a competitive club high school rowing program each fall at the Fred Emerson Boathouse on Lake Pattagansett. Program directors are High School Coaches Scott Mahon, Mary Jennings.

Participant Name *

Date of Birth *

School and Grade in September *

Parent / Guardian Name(s) *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent / Guardian Phone 1 *

Parent / Guardian Phone 2

Participant Phone *

Parent / Guardian Email *

Confirm Email

Participant Email *

Confirm Email

Fall Registration Form

Mailing Address

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