Sign-Up!

Welcome to your first step in rowing! Please fill out this form to the best of your ability. This will help us in establishing the best course of action to take in fulfilling your needs. Thanks for taking an interest in our program!

(Note: This information will only be used for KSRA purposes and will NOT be distributed in the public domain. Because, let's face it, we all get enough junk mail as it is! If you have further questions/concerns, please contact Coach Joey Lightner at lightner@ksu.edu)

WOMEN's Rowing:
If you are looking for the Varsity Women's Rowing website, please go to www.k-statesports.com!

PERSONAL INFORMATION

First Name:

Last Name:

Address 1:

Address 2:

City:

State/Province:

Other:

Zip/Postal Code:

Country:

(if other than U.S.A.)

Phone Number:

Email Address:

PHYSICAL DESCRIPTION

Gender:

Male Female

Height:

Weight:

lbs.

ACADEMICS

Student Status:

High School Undergraduate Graduate Other

Expected Date of Graduation:

I am not a KSU Student, but...

I am thinking about it.
I am going to apply to KSU.
I have applied, but am waiting to be accepted.
I have been accepted to KSU and will be a student in the semester.
• Other:

(for Kansas State University enrollment information, please go to their Admissions Dept. website at: www.ksu.edu/admit)

GPA or Academic Rank (optional):

(Intended) Majors / Minors / Fields of Study:

ROWING EXPERIENCE

Total Years Rowed:

Crew Names & Locations:

Experience (check all that apply):

	Coach
	Sweep Rower
	Sculler
	Coxswain
	Judge/Referee
• Other:

Rowing Preference:

Not applicable
Starboard
Port
Starboard & Port

"I want to...

	coach."
	sweep row."
	scull."
	be a coxswain."
	be a Coach's Assistant."
• Other:

ADDITIONAL INFORMATION &/or QUESTIONS?

Please write any additional information you think is necessary and write all your questions here!: