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Bergen County Rowing Academy
Rowing for All Levels and Ages
Release of Liability

Full Name of Athlete


Date of Birth


City                                                             State         ZIP

Phone                                                         Date

Please check the box to sign your waiver. (If the athlete is under the age of 18 a parent or guardian is required to check the box.)

Click the Waiver Image to enlarge and download:
By checking this box I attest that I have read the waiver to my left, and that I agree with the entire document.