Middle School Rowing Team Registration – Pay by Check Instructions:Please submit one registration for each rower. Athlete Name:(Required) First Last Athlete Date of Birth:(Required) MM slash DD slash YYYY Athlete Email:(Required) Athlete Phone:(Required)Athlete Grade for 2023-2024(Required)6th Grade7th Grade8th GradeAthlete School Affiliation:(Required) Middle School Rowing Team(Required)The LCRA middle school rowing program is open to all students who are currently enrolled in grades 6-8. The goal of the LCRA youth program is to foster the love of rowing while providing opportunities to compete in a safe and respectful manner. There are two seasons, Fall & Spring. If you have extenuating circumstances and need a payment option different than below, please register with payment by check (this form) and contact the Youth Rep, Keri Caridi at KeriC@RowLCRA.org MS One Season – $495.00 MS Full Year (Fall & Spring) – $990.00 Apply CouponIf you are registering a 2nd or more child, please type SIBLING to apply that discount. If a coupon is applied incorrectly, you will be notified and expected to pay the difference. Total to Pay By Check Parent/Guardian InformationParent/Guardian #1 Name:(Required) First Last Parent/Guardian #1 Email:(Required) Parent/Guardian #1 Phone:(Required)Parent/Guardian #2 Name: First Last Parent/Guardian #2 Email: Parent/Guardian #2 Phone: Payment InformationMailing Address(Required) Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total to Pay By CheckPlease make all checks payable to LCRA and mail to LCRA PO Box 120173. Clermont, FL 34712. You can also call us at 352.432.8027 and arrange to drop it at the Boathouse when somebody is there. If you need help or have questions, please email firstname.lastname@example.org All payments are non-refundable.