Black Bear Sculling

Application


For your convenience you may now register online. If you would like to take advantage of this, please fill out the form below. If you are registering more than one person, please fill out a form for each person attending. Please note that your registration is not complete until Black Bear has received a deposit in the amount of $300 per person.

Please mail this payment to the following address:

Black Bear Sculling
c/o Steve Wagner
200 Plainfield Avenue
Piscataway, NJ 08854

If you choose to fill out the online registration, you will immediately receive a copy of your request by email. If there are any problems regarding your request, you will receive an additional email or phone call. Once your deposit has been received, you will receive a confirmation and further instructions.

You may also mail in your registration by printing the file at the bottom of this page and mailing it along with your deposit.

  • First Name:
  • Last Name:
  • Address:
  • City: State: Zip:
  • Email Address:
  • Home Phone: () - Work Phone: () -
  • Age:
  • Are you a vegetarian? No Yes
  • Are you bringing your own boat? No Yes
  • Roommate Preference:
  • Shirt Size: Small    Medium    Large    Extra-Large
  • Skill Level:
    • Beginner
    • Intermediate
    • Advanced
  • Club Affiliation:
  • Session that you would like to attend:
    • July 18th – 23rd *** This session is closed ***
    • July 25th – 30th
    • August 1st – 6th *** This session is currently full ***
    • August 8th – 13th *** This session is currently full ***
    • Weekend Session - August 6th – 8th *** This session is currently full ***


If you would like to mail in your application, fill out the following and send it to the address above.

Mail-in Application