2009 Navy Rowing Camp for Girls Application

Name: _________________________________________  

Parent's Email address:  ____________________________

Age: ___________     Height (inches):  ____________

Grade in School (2008-2009): _______

Street Address:___________________________________

City: ___________________________ State: _______ Zip:_________

Home Telephone: (_____)_______________

T-shirt size: S   M    L    XL

How did you hear about the Navy Rowing Camp for Girls?

Roommate Request: ____________________________________
                               ____________________________________

In case of emergency, contact:
Name: ___________________________
Relationship to camper:  _______________________
Daytime phone: (_____)______________
Evening phone: (_____)______________

TRANSPORTATION
Will Camper require transportation (please circle)?    YES    NO
         If YES, please provide the following information:
Arrival: BWI Airport or BWI Train Station  (Please circle)
Flight #/Time: _____________________ Airline:___________________
Departure: BWI Airport or BWI Train Station
Flight #/Time: _____________________ Airline:___________________
***Transportation information may be sent later if unavailable at this time.                                                 
For information concerning transportation options for Campers, please visit the Transportation page
  ***** Please ensure travel arrangements correspond with Transportation Options *****

MEDICAL INFORMATION
Applicant’s Name:_____________________________
MEDICAL TREATMENT AUTHORIZATION
I/We being the legal guardian(s) of the above applicant, authorize the Navy Rowing Camp
and its agents permission to request medical treatment as necessary to insure the well
being of the applicant.
__________________________________________
(Parent or Guardian Signature)
INSURANCE: Coverage for accidental injury is required by all participants. Please complete
the health care information below:
HEALTH INSURANCE CARRIER:_____________________________
POLICY NUMBER:____________________________
I approve of my child’s attendance at the Navy Rowing Camp For Girls and certify that she
is in good health and able to participate in the program activities. I (am/am not) attaching a
statement explaining special physical limitations and/or required medication. Please indicate
if your child suffers from allergies, asthma, diabetes, restricted activities, etc. In further
consideration of the Navy Rowing Camp For Girls accepting this application, I/we hereby
agree to save and indemnify and keep harmless the Navy Rowing Camp For Girls, its agents,
and employees against any and all liability, claims, judgments or demands for damages arising
as a result of injuries sustained by the applicant during or as a result of any course given the
applicant of the Navy Rowing Camp For Girls.
_____________________________________________________
(Parent or Guardian Signature)

Please complete fully and send to:
Navy Rowing Camp For Girls
P.O. Box 381
Arnold, MD 21012

please make check payable to NAAA