Youth Middle School Rowing Team Registration – ACH Only

Instructions:
Please submit one registration for each rower.

Please only use this form for Direct Debit (ACH) Bank Transfer payments.

Athlete Name:(Required)
MM slash DD slash YYYY
Do you live within Clermont city limits?(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 contact the Youth Coordinator at YouthCoordinator@rowlcra.org or Contact Us.

If 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.
Price: $0.00

Parent/Guardian Information

Parent/Guardian #1 Name:(Required)

Parent/Guardian #2 Name:

Payment Information

Billing Address(Required)
DO NOT USE CREDIT CARD OR ANYTHING BUT DIRECT DEBIT (ACH). If CC or other payment method is used, we will need to bill you for the difference in processing fees.

If you need help or have questions, please email youthcoordinator@rowlcra.org

All payments are non-refundable.