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 $200 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:
  • Skill Level:
    • Beginner
    • Intermediate
    • Advanced
  • Club Affiliation:
  • Session that you would like to attend:
    • July 13th - 18th *** This session is wait list only. ***
    • July 20th - 25th *** This session is wait list only. ***
    • July 27th - August 1st *** This session is wait list only. ***
    • August 3rd - 8th *** This session is wait list only. ***
    • August 10th - 15th
    • August 1st - 3rd *** This session is wait list only. ***


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

Application