Camps - Registration Form




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Experience Levels	Day In The Life	Registration/Tuition
Schedule	Staff	Required Form

To Register for a Row As One Program:

1)	Complete the on-line form below
2)	Print out the form and mail it in with your payment (see below for tuition information)
3)	Print, complete and return the Required Forms to Row As One

	Total camp cost before June 4th is $1,100. Total camp costs after June 4th is $1,200. This includes all meals and lodging during the camp. On or Before June 4th A non refundable, transferable deposit of $500 is due with registration. Final payment of $600 is due by June 4th. After June 4th The full payment of $1,200 is due with registration.

PLEASE NOTE: The fields marked with an asterisk (*) are required.

*First Name:
*Last Name:
*Address
*City:
*State		*Zip:	-
*Phone:
*E-mail:
*Fax:

Roomate request (Camp only)
prefer sweep	prefer scull	would like both

port	starboard	both	not sure

Years experience

Program
Please indicate which program you are interested in attending:
	Camp for Women, New Hampton, NH. July 28 - August 2, 2008 (Learn-To-Row, intermediate, Advanced)
Other: Please include the clinic name

Payment

My check is enclosed (made out to Row As One LLC)

Please process my credit card (Visa and MasterCard only)

*Name on Credit Card:
*Billing Address
*City:
*State		*Zip:	-
*Card Number:
*Expiration Date:
*Authorization Signature: