ONLINE FORM

Athlete’s Information
*required field

*Athlete’s first name

*Athlete’s last name

*Athlete’s email address

*Athlete’s address

*Athlete’s city

*Athlete’s state

*Athlete’s zip

*Athlete’s home phone

Athlete’s cell phone

*Year at SICP (Check one)

Frosh

Soph

Junior

Senior

*Athlete birthdate (00-00-00)

Varsity Team or
Novice Team

 Men’s Team or
 Women’s Team

Mother’s information

*Mother’s name

Mother’s work phone

Mother’s cell phone

Mother’s email address (one parent mandatory)

Father’s information

*Father’s name

Father’s work phone

Father’s cell phone

Father’s email address (one parent mandatory)

Club Dues
(Details found in downloaded documents.  Please select one option)

I will send a check for $875 (or $895 if you are new rower) made payable to “Ignatius Chicago Crew”

I have contacted Treasurer Sheila Hansen regarding a scholarship request or payment arrangements

I will return the required forms, but payment will be made according to the invoice deadlines stated in the Packet