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| Head of The Erie Rome Rowing Center, Rome, New York Saturday, October 13, 2007 Scholastic, Club and Individual Entry Form Complete one form for each organization or individual entry and return by Oct.. 4th, 2006 with full payment to: Erie Canal Rowing Club, P.O. Box 4711, Rome, NY 13442 Entry Fees: Singles $20; Doubles/Pairs $30; Fours $40; Eights $50 Event No._______ Event Title:_________________________________ Name of Organization Submitting Entry:_________________________________________ (If unaffiliated, designate as such) First Name Last Name Age Crew: Bow ___________________ ___________________________ ____ 2 ___________________ ___________________________ ____ 3 ___________________ ___________________________ ____ 4 ___________________ ___________________________ ____ 5 ___________________ ___________________________ _____ 6 ___________________ ___________________________ _____ 7 ___________________ ___________________________ _____ Stroke ___________________ ___________________________ _____ Coxswain ___________________ ___________________________ ____ Contact Person: ___________________________________ Phone Number:___________ Address:__________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Print this page of the "Entry Form" on your printer and return it with the "Release Form" by 10/3/2007. Send the completed Entry Form with the Rowing Release Form to: Erie Canal Rowing Club P.O. 4711 Rome, NY 13442 |