ARAMOHO WHANGANUI ROWING CLUB MEMBERSHIP FORM
Please fill out the following form to row with us.
Full name
*
First Name
Last Name
Have you rowed before?
*
Yes
No
Are you in one of the learn to row programmes?
*
Yes - masters novice
Yes - highschool novice
No
Date of birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
Region
Postal Code
Mobile number
*
-
Area Code
Phone Number
Home phone number
E-mail
Occupation
Sometimes we need help at the club. For example, if you're a savvy builder or marketing whiz, we'd love to go to you in the first instance with our work. If you're filling this out on behalf of your child, please put your occupation.
Emergency contact
Emergency contact's full name
*
First Name
Last Name
Emergency contact's mobile number
*
-
Area Code
Phone Number
Membership options
Please let us know what membership you're signing up for. Find our membership prices on our website here: https://www.aramohowhanganuirowing.nz/membership-fees
What membership type are you signing up for?
*
Please Select
Learn to row programme
Gym membership
Coxswain
Novice Rower
School Rower
Club/Senior Rower
Tertiary Rower
Master Rower
Social Rower (Maximum 1 row per week)
Associate
Non-Active Committee Member
Active Life Member
2nd Family Member
If you're also needing a private boat rack at the club, please let us know in the next question. This costs $75 per year.
Are you needing a private boat rack? (optional add-on)
*
Yes
No
How will you be paying?
*
Cash
Automatic payment directly to 03-0791-0543270-00
Please agree to the following.
*
I have made payment for my subs and will pay regatta fees within 5 days of receiving invoice.
I have set up an automatic regular payment to cover fees, or paid in full.
Additional questions
Can you swim 50 metres?
*
Yes
No
N/A (click this if you're signing up to use the gym facilities)
Do you have any pre-existing medical concerns we should know about?
*
Yes
No
If you answered 'yes' to having a pre-existing medical concern above, please specify below.
Rower signature
*
I agree to abide by the Aramoho Whanganui Rowing Club code of conduct. I agree to pay Aramoho Whanganui Rowing Club subscription by 30 November and regatta expenses as invoiced, by the required date.
Clear
Parent signature
*
As a parent of a school rower, I accept the information above is true and correct. I also accept my child will abide by the AWRC Code of Conduct, and honour my child’s subscription and other expense payments.
Clear
Submit
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