Registration Form

Niagara Rowing School Inc.

2010 Registration Form

Please fill out all relevant fields and click on Submit.

For a printable version, please click here.

Complete one form per individual attending.
* All prices are in Canadian Dollars.

WEEKEND PROGRAMS

2 Day ($199.00 + HST) 3 Day ($295.00 + HST)

WEEKDAY PROGRAMS

Private and Semi-private (2 people) 90min. Sessions

Private

one lesson ($50+ HST)

3 lessons ($135+ HST)

5 lessons ($225+ HST)

Date(s):

Semi-private

one lesson ($70+ HST)

3 lessons ($195 +HST)

5 lessons ($300 +HST)

Date(s):

PARTICIPANT INFORMATION

Name:

Age:

Gender:
Male Female

Address:

City:

Province / State:

Postal / Zip Code:

Daytime Phone:

Evening Phone:

E-Mail:

T-Shirt Size (mens): S M L XL XXL

Rowed Before? Yes   No     Years:

Sculling Focus: Recreational   Competitive

Sculled Before? Yes   No     Years:

Bring own boat? Yes    No

Club / School (if applies):

Weight (for boat sizing): <150   150-180   >180

Vegetarian: Yes    No

Can you swim? Yes   No

Allergies:

PAYMENT

Subtotal $

+ HST $

TOTAL $

Payment $100 Deposit Full Amount

Balance due upon arrival $

Payment Method Cheque Money Order Visa

If paying by visa, please provide email address to send secure link.

By checking on this box, I hereby agree to purchase the goods listed above.