\documentclass{article}
\usepackage{fullpage}
\title{Soviet Russia tea tasting}
+\author{Author: \underline{\hspace{1.5in}}}
\date{Sunday, July 5, 2015}
\newcommand{\tearow}[1]{#1 & & & & \\[0.5in]\hline}
\begin{document}
\maketitle
+\noindent
Round: \underline{\hspace{2in}}\\
Tea: label of the tea being tested\\
Mug: description of the mug you used (as a reminder to you)\\