2024 Row New York Masters Rowing Program
To register for Row New York's Masters Rowing Camp, please complete this registration form.
For more information about the Masters Rowing Camp, visit
https://rownewyork.org/meadowlakemasters/
Questions? Email events@rownewyork.org
Dates:
Saturdays - May
18, May 25, June 1, June 8
Time:
9:00am - 11:00am
Cost:
$300
Location:
World's Fair Marina (Queens)
Flushing Meadows Corona Park
30 Meadow Lake Trail
Flushing, NY 11366
Transportation is available to and from camp. Athletes are picked up near the Mets-Willets Point Station on the 7 train line.
Participant Information
Participant First Name
Participant Last Name
Pronouns
Please select...
She/Her
He/Him
They/Them
Other
Participant Email
Participant Phone Number
Swimming Ability
Please select...
Cannot swim
Beginner: can doggy paddle
Medium: can tread water and do laps
Advanced
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Rowing Experience
Please select...
Beginner/Learn to Row Program
Intermediate/Recreational
Advanced/Row(ed) competitively
Other
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Participant Medical Information
Confidential Information For Emergencies
The information in this section is confidential and collected to ensure that medical personnel have enough information to administer emergency treatment.
Name of Insurer
Insurance Policy Number
Does the participant take any medication?
Yes
No
Please list medication(s) with dosages and frequency of dosage
Does the participant have any medical conditions (e.g. allergies, diabetes, asthma, seizure disorder, etc.)?
Yes
No
Please list medical conditions.
Does your family have a history of heart problems at a young age?
Yes
No
Please describe:
Is the participant fully vaccinated against COVID-19?
Participants are strongly encouraged to be up to date on being vaccinated against COVID-19. Up to date means the participant received the most recent version of the COVID-19 vaccine. Row New York reserves the right to require participants to be vaccinated if required by federal, state or local law, rules, regulations or guidelines.
Yes
No
Has the participant received the booster for COVID 19?
Yes
No
If the participant received the booster vaccine for COVID 19, please write the date they received the booster.
Information for Coaches
The information in this section is shared with coaches to ensure they have enough information to safely run practices.
Does the participant need access to their inhaler during practice?
Yes
No
Does the participant need access to their EpiPen during practice?
Yes
No
Has the participant suffered injuries in the last 18 months?
Yes
No
Please describe the injury and the participant's current condition.
Does the participant have any limitations on activities in which they may be involved?
Yes
No
Please explain specific accommodations that may be needed:
Is there anything else Row New York should know about the participant's health condition?
Yes
No
Please explain:
Emergency Contact
If we cannot reach either parent or guardian, we will call the emergency contact.
Name
Relationship
Phone
Billing Information
Payment Information:
FULL PAYMENT IS DUE upon registration.
Dollar Amount
Name on Card
Card Number
MM
YY
CVV
Billing Address
Address Line 1
Address Line 2
City
State/Province
Postal Code
Waivers
Waivers must be signed by a parent or guardian if the participant is under 18 years old.
Click here to view the USRowing Membership Agreement
I read, understood, and agree with the USRowing Membership Agreement.
Click here to view the Row New York Waiver
I read, understood, and agree with the Row New York Waiver.
Do not refresh while the form is processing or your card may be charged twice.
Contact Information
