NSW State Team Nomination Form
for the 2017 NSW Interstate Rowing Team - Athlete

Name:*
Address:*
Suburb:*
Postcode:*
Mobile:*
Email:*
DOB*
RNSW Current Member:* Yes
No
Club / School:*
Coach:*
Nominating as:* Heavyweight
Lightweight
LTA 1x
Coxswain
Preferred:* Scull
Sweep

If sweep, please indicate preferred side:
Past Performance:* Best 2000m erg
(1000m for LTA)
Sliders
Fixed

Best on-water
Medical Condition
or Allergy:*
Emergency Contact:*
Emergency Contact Phone:*

I declare that the information stated in this form is true and correct and I have read the 2017 Rowing NSW State Team Selection Policy, the 2017 State Team Event Requirements and the Rowing NSW Code of Conduct and agree to uphold the principles contained therein. I also declare that I have the support of my club / school to commit to compete as part of the NSW State Team.

 

Yes
No
 

Stakeholders


Partners


Supporters

Rowing NSW relies heavily on
the support of a number of
Sponsors, Merchandisers
and Service Providers
more...