Mercy Crew Homepage

April 29, 2012
Columbus, OH
Participants: Entire Team

This form must be submitted by Friday, April 20th.

Rower Information:

Rower Name

Sunday: Breakfast and Lunch

Enter the number of Adults (over age 12) who will be eating on Sunday.
Adults cost $7 each.

Number of Adults:

Cost (Total x $7):

Enter the number of Children (age 12 and under) who will be eating on Sunday.
Children cost $5 each.

Number of Children:

Cost (# of Children x $5):

Your total is calculated below. Please submit a check payable to Mercy Crew, Inc. to Martha Malone by Monday, April 23rd. Thank you!

Total Cost:

Please answer the following questions pertaining to travel and accommodations:

Are you driving to the regatta?
If you are unable to drive, who is your daughter riding with?
If driving other rowers, how many more?
- - - - - - Rowers you know you are taking:
Which parent, if any, will be staying in town for the regatta?
- - - - - - If staying in a different hotel than the rowers, which one?

Parental Contact Information:

Hotel Name or Home:

Parent's Cell Number:


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