Waterloo Rowing Club
An affiliate of USRowing Association

Membership Application

Name: _______________________________________________

Birth date: ______________ Sex: __M __F

Address:______________________________________________

City: __________________________ State: __________ Zip:__________

Phone (home): _____________ Phone (work): ___________ Email: ____________

List any medical problems of prohibitions: ________________________________

Mail application and check to :
Treasurer, Waterloo Rowing Club
c/o Waterloo Leisure Services
1101 Campbell Ave.
Waterloo, IA 50701

Fees

__ Adult Lessons: (Age 18 and over): Includes first year unlimited rowing--$30.00

__ Youth Lessons: (Ages 12-17) Includes first year unlimited rowing----------$20.00

__ Adult Individual Membership: (Balance due May 1) Full season--------$75.00

__ Adult Individual Membership: Head Race Season (after August 31) --$45.00

__ Family Membership: First Individual-------------------------------------------$75.00
__ Family Membership: Each additional family member--------------------------$35.00

__ Youth/Collegiate Membership: (full time student)-----------------------------$45.00

__ Club Membership: Non-rowing-------------------------------------------------$45..00
__ Special Event Membership: (i.e. Notta Regatta)-------------------------------$15.00

__ Guest-for-a Day: -----------------------------------------------------------------------Free

Check Included: $___________