Date *
Date
Participant's Date of Birth *
Participant's Date of Birth
Participant Name *
Participant Name
Participant Phone Number
Participant Phone Number
Persons 18 and over Complete Part A only *
Part A - Consent & Release From Liability *
Activity, as used herein, shall include any organized, supervised, or authorized activities, on or off the water, in which a member or guest of Steel City Rowing Club (SCRC) or a subsidiary or an affiliate group may engage. By participating in the activities defined below, I agree to abide by in spirit and in practice the following conditions for participating from the onset to the conclusion of my active participation.
Part B - Parent/Guardian Consent (Participant Under 18 years of age) *