Roth Regatta Registration
Club/Organization/Group Name *
Boat's Name *
Roth Regatta Event's Designated Contact Person's Name *
Designated Contact Person's Phone Number *
Ex: 555-654-7854
Desingated Contact Person's Email *
Rower #1's Name *
Rower #1's Shirt Size *
Rower #2's Name
Rower #2's Shirt Size
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Rower #3's Name
Rower #3's Shirt Size
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Rower #4's Name
Rower #4's Shirt Size
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Land Crew Names
(Please fill out the text box below with the rower's first and last names, separated by commas. Ex: James Alrassi, Mallory Rothstein, Colleen Cheslak)
I understand that I must submit a signed Regatta Release and Wavier for each rower and launcher of the crew to the front desk of USG.
(The USG front desk is located in SAC Suite 202. The release form can be found using the following link: http://stonybrookusg.org/roth-regatta-2015/ 
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