THE GREAT DISMAL REGATTA

"The First on the Oldest"

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Registration

Deadline: Oct. 10, 2003

Club Information

Club name

Coach/contact name

phone number

email address

Registration Fees:

High School: $5 per rower and cox
College: $5 per rower and cox
All others: $10 per rower and cox

Registered rowers/cox may compete in multiple events.

Roster
Name	Age
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10.	___
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25.	___

Circle each boat entered.

Mens:
- Eight
- Quad
- Four+
- Double
- Single
Womens:
- Eight
- Quad
- Four+
- Double
- Single
Mens Master:
- Double
- Single
Womens Master:
- Double
- Single
Junior Boys:
- Eight
Junior Girls:
- Eight
Recreational:
- Single
Other:
- pairs
- canoes
- kayaks
- outrigger canoe
- other - (describe)__________________________

T-Shirts ($12 each pre-ordered)

Small	___
Medium	___
Large	___
XL	___
XXL	___
Total	___

Make checks payable to Southern Branch Rowing Association.

Mail registration by Oct., 10, 2003 to:

The Great Dismal Regatta
c/o Chuck Smith
420 Butterfly Drive
Chesapeake, Virginia 23322

On the day of the Regatta:

Bring US Rowing waiver to be presented day of the Regatta at the registration table.
Coaches, cox'ns and scullers meeting at 7:45am.