Please be advised that a $100 application fee is required of all applicants. This fee will be applied toward your annual dues once your membership has been approved.

First Name
Last Name
Street 1
Street 2
City
State
Zip
 -
Phone
 x
email
Date of Birth
Proposer Name
Seconder Name
Swimming Proficiency
   
Previous Rowing Experience
     
Briefly, why are you applying for membership at Undine?
 
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