Black Bear Sculling

Application


To register on-line, please fill out and submit the form below. If you are registering more than one person, please fill out a form for each person attending. You will immediately receive a copy of your application by email. Please note that your registration is not complete until Black Bear Sculling has received your non-refundable deposit in the amount of $300.00 per person.

Please mail your deposit to:

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

Once your deposit has been received, you will receive a confirmation letter and further instructions.

You may also register by mail. Please click on the "Mail-in Application" to print out an application.

  • 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 22nd - 27th
    • July 29th - August 3rd
    • August 5th - 10th
    • Weekend Session: August 5th - 7th


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

Mail-in Application