Adult Membership Form (for non-online payment)


After completing the form, please send your membership check to:

PO Box 21
Shamokin Dam, PA 17876

Before filling out the form, please complete the USRowing Waiver:

CPRA is a member of US Rowing, an umbrella organization for rowing clubs nationwide. US Rowing requires our club to have each member submit an electronic waiver of liability through the US Rowing website for the clubs insurance. 

In order to complete the online waiver, please go to

Review CPRA Safety Documents 

Click here to go to CRPA's Safety Rules page under "About".

Remember, regardless of whether or not there is a coach on the water or you are bow certified:
Every rower is 100% responsible for the whole boat!

Name *
Phone *
Phone Type *
Alternate Phone
Alternate Phone
Address *
Membership Information
See top of form for link to US Rowing website to sign waiver.
Membership Type *
Other Fees
Please check boxes for additional fees including single/double rack fees for in the boat house, oar rack (note: oar storage is included in rack fees), and winter boat storage.
Emergency Contact Information
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Additional Ifnormation
Review Safety Documents *
Please review Safety Documentation found on the website ( under "About" > "Safety Rules"
Consent to Use Photographs and Video *
Permission to Publish in Club Directory *