Philadelphia Girls' Rowing Club

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone

Specify Cell, Home or Business below

(###)

###

####

Secondary Phone

Specify Cell, Home or Business below

(###)

###

####

Birthdate

MM

DD

YYYY

Rowing Member

$600 (If paying by credit card $625)

Social Member

$200 (By credit card $210)

Initiation Fee

Fee for all new applicants $250

Inside Boat Berth

$200 per seat (By credit card $210)

Outside Boat Berth

$125 per seat (By credit card $130)

Planned Gift

I would like to discuss the options of making a planned gift to PGRC (in my will, living Trust, having PGRC as beneficiary to my life insurance, IRA or retirement plan)

Check and Sign:

I understand the Renewal of Membership is subject to approval by the Club's Board of Directors and that new applicants, for the first four months of membership, shall be on probation, after which they may be voted into membership and may be eligible for a key.

I have read The Philadelphia Girls' Rowing Club Handbook.